Healthcare Provider Details

I. General information

NPI: 1427060615
Provider Name (Legal Business Name): DENVER CARDIAC SURGERY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2006
Last Update Date: 11/26/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2005 FRANKLIN ST MIDTOWN 1, SUITE 700
DENVER CO
80205-5401
US

IV. Provider business mailing address

2005 FRANKLIN ST MIDTOWN 1, SUITE 700
DENVER CO
80205-5401
US

V. Phone/Fax

Practice location:
  • Phone: 303-832-6165
  • Fax: 303-839-8956
Mailing address:
  • Phone: 303-832-6165
  • Fax: 303-839-8956

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. ROBIN L PADILLA
Title or Position: OFFICE ADMINISTRATION
Credential:
Phone: 303-832-6165