Healthcare Provider Details

I. General information

NPI: 1861544462
Provider Name (Legal Business Name): HILLTOP FAMILY PHYSICIANS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2007
Last Update Date: 09/30/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19964 E HILLTOP RD STE A
PARKER CO
80134-7313
US

IV. Provider business mailing address

19964 E HILLTOP RD STE A
PARKER CO
80134-7313
US

V. Phone/Fax

Practice location:
  • Phone: 303-841-2212
  • Fax: 303-841-4716
Mailing address:
  • Phone: 303-841-2212
  • Fax: 303-841-4716

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER L SOUDERS
Title or Position: OFFICE MANAGER
Credential: CMPE
Phone: 303-841-2212