Healthcare Provider Details

I. General information

NPI: 1053329383
Provider Name (Legal Business Name): DAVID D LINN MD FAMILY MEDICINE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2006
Last Update Date: 08/22/2020
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 Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID D LINN
Title or Position: MD
Credential: MD
Phone: 303-838-4686