Healthcare Provider Details

I. General information

NPI: 1316242555
Provider Name (Legal Business Name): ENDOCRINOLOGY OF THE ROCKIES, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2011
Last Update Date: 01/19/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4545 E 9TH AVE SUITE 245
DENVER CO
80220-3901
US

IV. Provider business mailing address

4545 E 9TH AVE SUITE 245
DENVER CO
80220-3901
US

V. Phone/Fax

Practice location:
  • Phone: 303-329-7876
  • Fax: 303-329-7862
Mailing address:
  • Phone: 303-329-7876
  • Fax: 303-329-7862

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ROMANA HAAS
Title or Position: PHYSICIAN OWNER
Credential: M.D.
Phone: 303-329-7876