Healthcare Provider Details

I. General information

NPI: 1740247386
Provider Name (Legal Business Name): HORIZON WOMENS CARE,PROFESSIONAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2006
Last Update Date: 09/24/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10099 RIDGE GATE PKWY #290
LONE TREE CO
80124
US

IV. Provider business mailing address

10099 RIDGEGATE PKWY SUITE 290
LONE TREE CO
80124-5531
US

V. Phone/Fax

Practice location:
  • Phone: 303-791-2112
  • Fax: 303-683-6415
Mailing address:
  • Phone: 303-791-2112
  • Fax: 303-683-6415

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: HEIDI JO OSTER
Title or Position: OWNER
Credential: MD
Phone: 303-791-2112