Healthcare Provider Details

I. General information

NPI: 1669512034
Provider Name (Legal Business Name): COLORADO HYPERBARIC PHYSICIANS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1719 E 19TH AVE
DENVER CO
80218-1235
US

IV. Provider business mailing address

PO BOX 260155
LITTLETON CO
80163-0155
US

V. Phone/Fax

Practice location:
  • Phone: 303-839-6900
  • Fax: 303-791-4685
Mailing address:
  • Phone: 303-839-6900
  • Fax: 303-791-4685

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number28864
License Number StateCO

VIII. Authorized Official

Name: PAUL THOMBS
Title or Position: PRESIDENT
Credential: MD
Phone: 303-839-6900