Healthcare Provider Details

I. General information

NPI: 1922103720
Provider Name (Legal Business Name): FOOTHILLS UROGYNECOLOGY, P. C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2006
Last Update Date: 07/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 E HARVARD AVE SUITE 475
DENVER CO
80210-5073
US

IV. Provider business mailing address

850 E HARVARD AVE SUITE 475
DENVER CO
80210-5073
US

V. Phone/Fax

Practice location:
  • Phone: 303-282-0006
  • Fax: 303-282-0066
Mailing address:
  • Phone: 303-282-0006
  • Fax: 303-282-0066

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. TERRY S DUNN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 303-282-0006