Healthcare Provider Details

I. General information

NPI: 1710355052
Provider Name (Legal Business Name): PINNACLE MEDICAL PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2015
Last Update Date: 09/03/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7074 S REVERE PKWY
CENTENNIAL CO
80112-3932
US

IV. Provider business mailing address

8120 S HOLLY ST SUITE 100
CENTENNIAL CO
80122-4005
US

V. Phone/Fax

Practice location:
  • Phone: 303-357-2559
  • Fax: 888-488-8979
Mailing address:
  • Phone: 303-779-3013
  • Fax: 303-779-0343

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. VALERIE HOLT
Title or Position: MANAGER
Credential:
Phone: 303-357-2559