Healthcare Provider Details

I. General information

NPI: 1730295296
Provider Name (Legal Business Name): ROCKY MOUNTAIN YOUTH MEDICAL & NURSING CONSULTANTS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2006
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9197 GRANT ST STE 200
THORNTON CO
80229-4337
US

IV. Provider business mailing address

9197 GRANT ST STE 100
THORNTON CO
80229-4331
US

V. Phone/Fax

Practice location:
  • Phone: 303-450-3690
  • Fax: 303-962-1511
Mailing address:
  • Phone: 303-869-2173
  • Fax: 303-962-1511

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: PAUL BROWN
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 303-450-3690