Healthcare Provider Details
I. General information
NPI: 1164737979
Provider Name (Legal Business Name): ALBRECHT WOMEN'S CENTER FOR REPRODUCTIVE ENDOCRINOLOGY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/17/2010
Last Update Date: 08/17/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9800 PYRAMID CT SUITE 310
ENGLEWOOD CO
80112-5999
US
IV. Provider business mailing address
9800 PYRAMID CT SUITE 310
ENGLEWOOD CO
80112-5999
US
V. Phone/Fax
- Phone: 303-709-9429
- Fax:
- Phone: 303-709-9429
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VE0102X |
| Taxonomy | Reproductive Endocrinology Physician |
| License Number | 23164 |
| License Number State | CO |
VIII. Authorized Official
Name: DR.
BRUCE
H
ALBRECHT
Title or Position: OWNER/PHYSICIAN
Credential: MD
Phone: 303-709-9429