Healthcare Provider Details

I. General information

NPI: 1598909145
Provider Name (Legal Business Name): TIMOTHY A. ROYAL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2009
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2055 N HIGH ST STE 250
DENVER CO
80205-5507
US

IV. Provider business mailing address

7525 S WILLOW CIR
CENTENNIAL CO
80112-2720
US

V. Phone/Fax

Practice location:
  • Phone: 303-839-7440
  • Fax:
Mailing address:
  • Phone: 303-997-7571
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number48071
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: