Healthcare Provider Details

I. General information

NPI: 1114189057
Provider Name (Legal Business Name): ARETE NEUROSURGICAL PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2008
Last Update Date: 08/24/2022
Certification Date: 08/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 E 19TH AVE STE 4600
DENVER CO
80218-1289
US

IV. Provider business mailing address

9450 VISTA HILL LN
LONE TREE CO
80124-8471
US

V. Phone/Fax

Practice location:
  • Phone: 303-832-2449
  • Fax: 303-832-3832
Mailing address:
  • Phone: 303-374-4224
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number46246
License Number StateCO

VIII. Authorized Official

Name: DR. RENATTA OSTERDOCK
Title or Position: CEO/MD
Credential: MD
Phone: 303-832-2449