Healthcare Provider Details
I. General information
NPI: 1043823933
Provider Name (Legal Business Name): UNIVERSITY PHYSICIANS, INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/28/2020
Last Update Date: 08/29/2024
Certification Date: 08/29/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
100 COOK ST STE 304
DENVER CO
80206-5339
US
IV. Provider business mailing address
PO BOX 110429
AURORA CO
80042-0429
US
V. Phone/Fax
- Phone: 720-516-9407
- Fax: 720-516-9435
- Phone: 303-493-7000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Y00000X |
| Taxonomy | Otolaryngology Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LISA
DONAHUE
Title or Position: DIRECTOR
Credential:
Phone: 303-493-7300