Healthcare Provider Details

I. General information

NPI: 1083765671
Provider Name (Legal Business Name): MIDTOWN OCCUPATIONAL HEALTH SERVICES,PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2420 W 26TH AVE STE 200D
DENVER CO
80211-5303
US

IV. Provider business mailing address

2420 W 26TH AVE STE 200D
DENVER CO
80211-5303
US

V. Phone/Fax

Practice location:
  • Phone: 303-831-9393
  • Fax: 303-831-6335
Mailing address:
  • Phone: 303-831-9393
  • Fax: 303-831-6335

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number StateCO

VIII. Authorized Official

Name: MRS. PAM CLATTERBUCK
Title or Position: OFFICE MANAGER
Credential:
Phone: 303-831-9393