Healthcare Provider Details

I. General information

NPI: 1376293100
Provider Name (Legal Business Name): URGENT SPECIALTY ASSOCIATES OF COLORADO, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2022
Last Update Date: 07/25/2022
Certification Date: 07/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9191 GRANT ST
THORNTON CO
80229-4361
US

IV. Provider business mailing address

PO BOX 674802
DALLAS TX
75267-4802
US

V. Phone/Fax

Practice location:
  • Phone: 303-451-7800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License Number
License Number State

VIII. Authorized Official

Name: JOHN D JOSEPHS
Title or Position: PRESIDENT
Credential: MD
Phone: 469-609-9908