Healthcare Provider Details

I. General information

NPI: 1083829659
Provider Name (Legal Business Name): ROCKY MOUNTAIN MEDICAL & HEALTH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2007
Last Update Date: 01/21/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6850 E EVANS AVE SUITE #102
DENVER CO
80224-2300
US

IV. Provider business mailing address

6850 E EVANS AVE SUITE #102
DENVER CO
80224-2300
US

V. Phone/Fax

Practice location:
  • Phone: 303-691-5009
  • Fax: 303-691-8897
Mailing address:
  • Phone: 303-691-5009
  • Fax: 303-691-8897

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MR. NASER KALANI YAZD
Title or Position: OWNER
Credential: N.P.
Phone: 303-691-5009