Healthcare Provider Details
I. General information
NPI: 1720103484
Provider Name (Legal Business Name): THE WOMEN'S HEALTH GROUP PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/20/2007
Last Update Date: 08/19/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9195 GRANT STREET SUITE #410
THORNTON CO
80229-4388
US
IV. Provider business mailing address
9195 GRANT STREET SUITE #410
THORNTON CO
80229-4388
US
V. Phone/Fax
- Phone: 303-280-2229
- Fax: 303-991-1721
- Phone: 303-280-2229
- Fax: 303-991-1721
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
STEPHEN
M
VOLIN
Title or Position: OWNER/PHYSICIAN
Credential: MD
Phone: 303-280-2229