Healthcare Provider Details

I. General information

NPI: 1720039555
Provider Name (Legal Business Name): KEITH A SWARTZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2006
Last Update Date: 03/10/2025
Certification Date: 03/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 E HARVARD AVE STE 505
DENVER CO
80210-5078
US

IV. Provider business mailing address

850 E HARVARD AVE STE 505
DENVER CO
80210-5078
US

V. Phone/Fax

Practice location:
  • Phone: 303-744-1961
  • Fax: 303-744-1154
Mailing address:
  • Phone: 303-744-1961
  • Fax: 303-744-1154

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YS0012X
TaxonomySleep Medicine (Otolaryngology) Physician
License Number44782
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: