Healthcare Provider Details
I. General information
NPI: 1831229681
Provider Name (Legal Business Name): FRANK KEITH BATTAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/07/2007
Last Update Date: 05/16/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11245 HURON ST
WESTMINSTER CO
80234-2806
US
IV. Provider business mailing address
11245 HURON ST
WESTMINSTER CO
80234-2806
US
V. Phone/Fax
- Phone: 303-338-4545
- Fax:
- Phone: 303-338-4545
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 30197 |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: