Healthcare Provider Details

I. General information

NPI: 1093713265
Provider Name (Legal Business Name): EUGENE MARK ROSENTHALL DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/12/2005
Last Update Date: 06/12/2025
Certification Date: 06/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4500 E 9TH AVE SUITE 510
DENVER CO
80220-3900
US

IV. Provider business mailing address

4500 E 9TH AVE SUITE 510
DENVER CO
80220-3900
US

V. Phone/Fax

Practice location:
  • Phone: 303-333-6556
  • Fax: 303-333-2593
Mailing address:
  • Phone: 303-333-6556
  • Fax: 303-333-2593

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number644
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: