Healthcare Provider Details

I. General information

NPI: 1508878554
Provider Name (Legal Business Name): DEBORAH CHEN-BECKER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 E 19TH AVE SUITE 6300
DENVER CO
80218-1216
US

IV. Provider business mailing address

1601 E 19TH AVE SUITE 6300
DENVER CO
80218-1216
US

V. Phone/Fax

Practice location:
  • Phone: 303-869-2182
  • Fax: 303-869-1906
Mailing address:
  • Phone: 303-869-2182
  • Fax: 303-869-1906

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number44225
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: