Healthcare Provider Details

I. General information

NPI: 1760588602
Provider Name (Legal Business Name): EUGENE M ROSENTHALL, DPM PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2006
Last Update Date: 06/10/2008
Certification Date:
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 Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. EUGENE MARK ROSENTHALL
Title or Position: PRESIDENT
Credential: DPM
Phone: 303-333-6556