Healthcare Provider Details

I. General information

NPI: 1770153645
Provider Name (Legal Business Name): PARKER POINT MEDICAL CENTER P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2021
Last Update Date: 07/01/2021
Certification Date: 07/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7950 E MISSISSIPPI AVE STE C
DENVER CO
80247-2151
US

IV. Provider business mailing address

4098 S SABLE CIR
AURORA CO
80014-4170
US

V. Phone/Fax

Practice location:
  • Phone: 720-436-7613
  • Fax: 303-955-2397
Mailing address:
  • Phone: 720-436-7613
  • Fax: 303-955-2397

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171R00000X
TaxonomyInterpreter
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JULIA A VOSKRESENSKAYA
Title or Position: CEO
Credential: MD
Phone: 720-436-7613