Healthcare Provider Details

I. General information

NPI: 1992818140
Provider Name (Legal Business Name): CLAY COTHREN BURLEW MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CATHERINE C COTHREN MD

II. Dates (important events)

Enumeration Date: 08/15/2006
Last Update Date: 05/11/2022
Certification Date: 05/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 BANNOCK STREET DENVER HEALTH & HOSPITAL AUTHORITY
DENVER CO
80204-4507
US

IV. Provider business mailing address

777 BANNOCK STREET MC 7782 DENVER HEALTH 7 HOSPITAL AUTHORITY
DENVER CO
80204-4507
US

V. Phone/Fax

Practice location:
  • Phone: 303-436-4949
  • Fax:
Mailing address:
  • Phone: 303-436-6559
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number40086
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code2086S0127X
TaxonomyTrauma Surgery Physician
License NumberDR.0040086
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: