Healthcare Provider Details

I. General information

NPI: 1982391413
Provider Name (Legal Business Name): NEW WEST PHYSICIANS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2023
Last Update Date: 04/24/2023
Certification Date: 04/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 S CHERRY ST STE 300
DENVER CO
80246-1230
US

IV. Provider business mailing address

1707 COLE BLVD STE 100
GOLDEN CO
80401-3219
US

V. Phone/Fax

Practice location:
  • Phone: 720-494-4700
  • Fax: 720-494-4706
Mailing address:
  • Phone: 303-763-4900
  • Fax: 303-763-5495

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number State

VIII. Authorized Official

Name: RHONDA HECKARD
Title or Position: CREDENTIALING COORDINATOR
Credential:
Phone: 303-763-4900