Healthcare Provider Details

I. General information

NPI: 1679642920
Provider Name (Legal Business Name): OASIS FAMILY PRACTICE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2006
Last Update Date: 12/22/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 UNIVERSITY BLVD SUITE 200
DENVER CO
80206-4630
US

IV. Provider business mailing address

101 UNIVERSITY BLVD SUITE 200
DENVER CO
80206-4630
US

V. Phone/Fax

Practice location:
  • Phone: 303-329-9144
  • Fax:
Mailing address:
  • Phone: 303-329-9144
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number
License Number State

VIII. Authorized Official

Name: MR. DAVID LINGER
Title or Position: PRACTICE ADMINISTRATOR
Credential:
Phone: 303-329-9144