Healthcare Provider Details

I. General information

NPI: 1841421849
Provider Name (Legal Business Name): 5280 MEDICAL ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2009
Last Update Date: 08/07/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1460 LITTLE RAVEN ST UNIT 3-101
DENVER CO
80202-1769
US

IV. Provider business mailing address

1460 LITTLE RAVEN ST UNIT 3-101
DENVER CO
80202-1769
US

V. Phone/Fax

Practice location:
  • Phone: 303-919-4461
  • Fax: 303-265-9232
Mailing address:
  • Phone: 303-919-4461
  • Fax: 303-265-9232

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: SARA ATKINSON
Title or Position: OWNER
Credential:
Phone: 303-919-4461