Healthcare Provider Details

I. General information

NPI: 1083823736
Provider Name (Legal Business Name): PHILIPPE A CAPRARO MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2007
Last Update Date: 08/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4600 HALE PKWY STE 100
DENVER CO
80220-4020
US

IV. Provider business mailing address

4600 HALE PKWY STE 100
DENVER CO
80220-4020
US

V. Phone/Fax

Practice location:
  • Phone: 303-320-5566
  • Fax: 303-377-7067
Mailing address:
  • Phone: 303-320-5566
  • Fax: 303-377-7067

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: KAREN STRODE
Title or Position: BILLING MANAGER
Credential:
Phone: 303-320-6113