Healthcare Provider Details

I. General information

NPI: 1972590107
Provider Name (Legal Business Name): DAVID L PINSINSKI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2005
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10431 TOWN CENTER DR STE 400
WESTMINSTER CO
80021-6076
US

IV. Provider business mailing address

10431 TOWN CENTER DR STE 400
WESTMINSTER CO
80021-6076
US

V. Phone/Fax

Practice location:
  • Phone: 303-955-8314
  • Fax: 303-993-4013
Mailing address:
  • Phone: 303-955-8314
  • Fax: 303-993-4013

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code202K00000X
TaxonomyPhlebology Physician
License Number37740
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number37740
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: