Healthcare Provider Details

I. General information

NPI: 1578553731
Provider Name (Legal Business Name): RONALD JOSEPH MINTER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/27/2005
Last Update Date: 01/09/2020
Certification Date: 01/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8000 E MAPLEWOOD AVE
GREENWOOD VILLAGE CO
80111-4766
US

IV. Provider business mailing address

8000 E MAPLEWOOD AVE
GREENWOOD VILLAGE CO
80111-4766
US

V. Phone/Fax

Practice location:
  • Phone: 303-438-3999
  • Fax: 720-439-9500
Mailing address:
  • Phone: 303-438-3999
  • Fax: 720-439-9500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberDR.0054566
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: