Healthcare Provider Details

I. General information

NPI: 1194873463
Provider Name (Legal Business Name): JEFFREY PATRICK GUAY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/05/2007
Last Update Date: 01/03/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11600 W 2ND PL
LAKEWOOD CO
80228-1527
US

IV. Provider business mailing address

PO BOX 223897 SUITE 220A
PITTSBURGH PA
15251-2897
US

V. Phone/Fax

Practice location:
  • Phone: 720-321-0000
  • Fax: 720-321-1621
Mailing address:
  • Phone: 720-501-5000
  • Fax: 303-458-3997

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number32008
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberA89659
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number45315
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: