Healthcare Provider Details

I. General information

NPI: 1174792428
Provider Name (Legal Business Name): JAMES M GRIFFIN DPM PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2008
Last Update Date: 02/15/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 E HARVARD AVE STE 300
DENVER CO
80210-7009
US

IV. Provider business mailing address

950 E HARVARD AVE STE 300
DENVER CO
80210-7009
US

V. Phone/Fax

Practice location:
  • Phone: 303-744-8880
  • Fax: 303-871-8003
Mailing address:
  • Phone: 303-744-8880
  • Fax: 303-871-8003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number255
License Number StateCO

VIII. Authorized Official

Name: JACKIE R ZUBE
Title or Position: BILLING
Credential:
Phone: 303-761-7224