Healthcare Provider Details

I. General information

NPI: 1598570053
Provider Name (Legal Business Name): ROCKY MOUNTAIN PRIMARY CARE, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2025
Last Update Date: 02/11/2025
Certification Date: 02/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3520 W 92ND AVE STE 104
WESTMINSTER CO
80031-3304
US

IV. Provider business mailing address

7625 W 92ND AVE
WESTMINSTER CO
80021-4567
US

V. Phone/Fax

Practice location:
  • Phone: 303-429-6600
  • Fax:
Mailing address:
  • Phone: 303-252-7790
  • 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: ROBIN CAMPBELL
Title or Position: VP, REVENUE CYCLE
Credential:
Phone: 205-995-9909