Healthcare Provider Details

I. General information

NPI: 1174582357
Provider Name (Legal Business Name): RICHARD K PARKER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2006
Last Update Date: 06/17/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 E 19TH AVENUE STE 5000
DENVER CO
80218-1254
US

IV. Provider business mailing address

4900 SOUTH MONACO STREET STE 210
DENVER CO
80237-3486
US

V. Phone/Fax

Practice location:
  • Phone: 303-226-4650
  • Fax: 303-751-6069
Mailing address:
  • Phone: 303-226-4650
  • Fax: 303-751-6069

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License NumberDR.0016391
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: