Healthcare Provider Details

I. General information

NPI: 1952538316
Provider Name (Legal Business Name): BRYAN MACLEOD ARMITAGE MD, MSC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2009
Last Update Date: 10/13/2022
Certification Date: 10/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 E HAMPDEN AVE STE 515
ENGLEWOOD CO
80113-3880
US

IV. Provider business mailing address

701 E HAMPDEN AVE STE 515
ENGLEWOOD CO
80113-3880
US

V. Phone/Fax

Practice location:
  • Phone: 303-209-2503
  • Fax:
Mailing address:
  • Phone: 303-209-2503
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberDR.0064461
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number66076
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: