Healthcare Provider Details

I. General information

NPI: 1306411863
Provider Name (Legal Business Name): EKG ASSOCIATES PROF LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2021
Last Update Date: 05/26/2021
Certification Date: 05/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2551 W. 84TH AVE
WESTMINSTER CO
80031-3807
US

IV. Provider business mailing address

3464 S. WILLOW ST. STE 179
DENVER CO
80231-4531
US

V. Phone/Fax

Practice location:
  • Phone: 720-627-0000
  • Fax:
Mailing address:
  • Phone: 303-755-2900
  • Fax: 303-755-0404

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHAEL J PTASNIK
Title or Position: PRESIDENT
Credential:
Phone: 303-522-3785