Healthcare Provider Details

I. General information

NPI: 1306339163
Provider Name (Legal Business Name): COLORADO URGENT CARE PHYSICIANS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2018
Last Update Date: 05/29/2023
Certification Date: 05/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5102 SOUTH BROADWAY
ENGLEWOOD CO
80113
US

IV. Provider business mailing address

901 W HAMPDEN AVE UNIT 103
ENGLEWOOD CO
80110-7330
US

V. Phone/Fax

Practice location:
  • Phone: 303-761-1699
  • Fax:
Mailing address:
  • Phone: 303-761-1699
  • Fax: 303-761-1475

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: IRIT W GORDON
Title or Position: OWNER
Credential: MD
Phone: 303-761-1699