Healthcare Provider Details

I. General information

NPI: 1427710342
Provider Name (Legal Business Name): COLORADO OB GYN PARTNERS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2021
Last Update Date: 10/07/2021
Certification Date: 10/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7120 E HAMPDEN AVE UNIT A
DENVER CO
80224-3049
US

IV. Provider business mailing address

9195 GRANT ST STE 410
THORNTON CO
80229-4388
US

V. Phone/Fax

Practice location:
  • Phone: 303-758-0072
  • Fax: 303-758-3984
Mailing address:
  • Phone:
  • Fax:

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: CINDY E LONG
Title or Position: OWNER, MD
Credential:
Phone: 303-280-2229