Healthcare Provider Details

I. General information

NPI: 1790487122
Provider Name (Legal Business Name): SAVANNA KAY ROSENBAUM DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2023
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1960 N OGDEN ST STE 460
DENVER CO
80218-3670
US

IV. Provider business mailing address

1960 N OGDEN ST STE 460
DENVER CO
80218-3670
US

V. Phone/Fax

Practice location:
  • Phone: 303-318-2500
  • Fax:
Mailing address:
  • Phone: 303-318-2500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberDR.0075594
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: