Healthcare Provider Details

I. General information

NPI: 1528160389
Provider Name (Legal Business Name): OSGOODE S PHILPOTT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 E HARVARD AVE STE 440
DENVER CO
80210-7009
US

IV. Provider business mailing address

950 E HARVARD AVE STE 440
DENVER CO
80210-7009
US

V. Phone/Fax

Practice location:
  • Phone: 303-744-2704
  • Fax: 303-744-3244
Mailing address:
  • Phone: 303-744-2704
  • Fax: 303-744-3244

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number13820
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: