Healthcare Provider Details

I. General information

NPI: 1528003662
Provider Name (Legal Business Name): DENVER URGENT CARE PROFESSIONAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2006
Last Update Date: 09/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 BROADWAY BLDG A, SUITE 100
DENVER CO
80203-3959
US

IV. Provider business mailing address

1 BROADWAY BLDG A, SUITE 100
DENVER CO
80203-3959
US

V. Phone/Fax

Practice location:
  • Phone: 303-455-6345
  • Fax: 303-455-6343
Mailing address:
  • Phone: 303-455-6345
  • Fax: 303-455-6343

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number StateCO

VIII. Authorized Official

Name: DR. DAVID STERN
Title or Position: OWNER
Credential: M.D.
Phone: 303-455-6345