Healthcare Provider Details

I. General information

NPI: 1275598229
Provider Name (Legal Business Name): SOUTH DENVER MEDICINE ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2006
Last Update Date: 01/04/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 W DRY CREEK CIR STE 230
LITTLETON CO
80120-4458
US

IV. Provider business mailing address

4 W DRY CREEK CIR STE 230
LITTLETON CO
80120-4458
US

V. Phone/Fax

Practice location:
  • Phone: 303-788-8355
  • Fax: 303-788-4448
Mailing address:
  • Phone: 303-788-8355
  • Fax: 303-788-4448

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number28405
License Number StateCO

VIII. Authorized Official

Name: DR. JAMES D SINGLETON
Title or Position: PRESIDENT
Credential: MD
Phone: 303-788-8355