Healthcare Provider Details

I. General information

NPI: 1669623237
Provider Name (Legal Business Name): MICHAEL ERIC PERRY MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2008
Last Update Date: 10/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 E HAMPDEN AVE STE 430
ENGLEWOOD CO
80113-3781
US

IV. Provider business mailing address

601 E HAMPDEN AVE STE 430
ENGLEWOOD CO
80113-3781
US

V. Phone/Fax

Practice location:
  • Phone: 303-788-8355
  • Fax: 303-788-4448
Mailing address:
  • Phone: 303-788-8355
  • Fax: 303-788-4448

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number31207
License Number StateCO

VIII. Authorized Official

Name: DR. MICHAEL ERIC PERRY
Title or Position: PRESIDENT
Credential: M.D.
Phone: 303-690-4067