=====================================================
General NPI Number Information
=====================================================
NPI Number | 1366625246
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DENVER CARDIOLOGY ASSOCIATES P.C.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/13/2007
-----------------------------------------------------
Last Update Date | 02/04/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 950 E HARVARD AVE SUITE 480
-----------------------------------------------------
City | DENVER
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80210-7009
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 303-778-6880
-----------------------------------------------------
Fax | 303-778-6885
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 950 E HARVARD AVE SUITE 480
-----------------------------------------------------
City | DENVER
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80210-7009
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 303-778-6880
-----------------------------------------------------
Fax | 303-778-6885
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PHYSICIAN
-----------------------------------------------------
Name | BARRY R SMITH
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 303-778-6880
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RC0000X
-----------------------------------------------------
Taxonomy Name | Cardiovascular Disease Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------