Healthcare Provider Details
I. General information
NPI: 1851301881
Provider Name (Legal Business Name): HESKY FISHER LUKNIC MDSPC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/09/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2005 FRANKLIN ST STE 170
DENVER CO
80205-5402
US
IV. Provider business mailing address
2005 FRANKLIN ST STE 170
DENVER CO
80205-5402
US
V. Phone/Fax
- Phone: 303-860-9100
- Fax: 303-860-8735
- Phone: 303-860-9100
- Fax: 303-860-8735
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RX0202X |
| Taxonomy | Medical Oncology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
RICHARD
B
HESKY
Title or Position: PRES
Credential: MD
Phone: 303-860-9100