Healthcare Provider Details

I. General information

NPI: 1538116447
Provider Name (Legal Business Name): PARTNERS IN HEALTH FAMILY MEDICINE, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2006
Last Update Date: 05/14/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3520 W 92ND AVE SUITE #104
WESTMINSTER CO
80031-3303
US

IV. Provider business mailing address

3520 W 92ND AVE SUITE #104
WESTMINSTER CO
80031
US

V. Phone/Fax

Practice location:
  • Phone: 303-429-6600
  • Fax:
Mailing address:
  • Phone: 303-429-6600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MARK D ENGELSTAD
Title or Position: PRESIDENT
Credential: M.D.
Phone: 303-429-6600