Healthcare Provider Details

I. General information

NPI: 1982740486
Provider Name (Legal Business Name): UNION MEDICAL, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 09/03/2020
Certification Date: 09/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 INDIANA ST STE 280
GOLDEN CO
80401-5069
US

IV. Provider business mailing address

PO BOX 271068
LITTLETON CO
80127-0018
US

V. Phone/Fax

Practice location:
  • Phone: 303-985-1811
  • Fax: 303-985-3917
Mailing address:
  • Phone: 303-985-1811
  • Fax: 303-350-3524

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number29958
License Number StateCO

VIII. Authorized Official

Name: DR. FREDERICK MARK PAZ
Title or Position: PRESIDENT
Credential: MD
Phone: 303-985-1811