Healthcare Provider Details

I. General information

NPI: 1669288510
Provider Name (Legal Business Name): ONTO FERTILITY OF COLORADO PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2024
Last Update Date: 12/05/2024
Certification Date: 12/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12770 LYNNFIELD DR
PARKER CO
80134
US

IV. Provider business mailing address

9615 E COUNTY LINE RD STE B
CENTENNIAL CO
80112-3531
US

V. Phone/Fax

Practice location:
  • Phone: 303-999-3877
  • Fax:
Mailing address:
  • Phone: 352-239-8099
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. DALLAINA RACE
Title or Position: DIRECTOR OF ADMINISTRATION
Credential:
Phone: 352-239-8099