Healthcare Provider Details

I. General information

NPI: 1316980063
Provider Name (Legal Business Name): BETH ROLAND MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7120 E HAMPDEN AVE
DENVER CO
80224
US

IV. Provider business mailing address

7120 E HAMPDEN AVE
DENVER CO
80224
US

V. Phone/Fax

Practice location:
  • Phone: 303-758-0072
  • Fax: 303-758-3983
Mailing address:
  • Phone: 303-758-0072
  • Fax: 303-758-3983

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: BETH N ROLAND
Title or Position: PRESIDENT
Credential: MD
Phone: 303-758-0072