Healthcare Provider Details

I. General information

NPI: 1568887230
Provider Name (Legal Business Name): DAVID D. LINN MD FAMILY MEDICINE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2014
Last Update Date: 03/04/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10791 KITTY DR SUITE A
CONIFER CO
80433-7747
US

IV. Provider business mailing address

10791 KITTY DR SUITE A
CONIFER CO
80433-7747
US

V. Phone/Fax

Practice location:
  • Phone: 303-838-4686
  • Fax: 303-816-4905
Mailing address:
  • Phone: 303-838-4686
  • Fax: 303-816-4905

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number26384
License Number StateCO

VIII. Authorized Official

Name: DAVID LINN
Title or Position: OWNER
Credential: MD
Phone: 303-838-4686