Healthcare Provider Details

I. General information

NPI: 1649494980
Provider Name (Legal Business Name): YAGODA S FRANOTOVIC MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/11/2007
Last Update Date: 12/21/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2525 S DOWNING ST
DENVER CO
80210
US

IV. Provider business mailing address

PO BOX 1431
PARKER CO
80134
US

V. Phone/Fax

Practice location:
  • Phone: 303-778-5742
  • Fax: 303-663-4023
Mailing address:
  • Phone: 303-918-4156
  • Fax: 303-663-4063

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081H0002X
TaxonomyHospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
License Number25590
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: