Healthcare Provider Details

I. General information

NPI: 1609024009
Provider Name (Legal Business Name): ROCKY MOUNTAIN FERTILITY CENTER PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2008
Last Update Date: 09/26/2023
Certification Date: 09/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12770 LYNNFIELD DR
ENGLEWOOD CO
80112-4128
US

IV. Provider business mailing address

12770 LYNNFIELD DR
ENGLEWOOD CO
80112-4128
US

V. Phone/Fax

Practice location:
  • Phone: 303-999-3877
  • Fax: 303-999-3878
Mailing address:
  • Phone: 303-999-3877
  • Fax: 303-999-3878

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number
License Number State

VIII. Authorized Official

Name: DEBORAH SMITH
Title or Position: OWNER
Credential: MD
Phone: 303-999-3877