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NPI Code Detail

MEDICARE: EDWARD HUDSON PARKS M.D.

MEDICARE: EDWARD HUDSON PARKS M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician33795CO
2207XX0005XSports Medicine (Orthopaedic Surgery) Physician33795CO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2200021205OTHERCORR MEDICARE PIN
4P00625804OTHERKSRR MEDICARE PIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174536171
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDWARD HUDSON PARKS M.D.
Provider Business Mailing Address
First Line : 1830 FRANKLIN ST
Second Line : SUITE 450
City : DENVER
State : CO
Zip : 80218-1128
Country : US
Telephone Number : 303-321-1333
Fax Number : 303-321-0620
Provider Business Practice Location Address
First Line : 4700 HALE PKWY STE 360
Second Line :
City : DENVER
State : CO
Zip : 80220-4041
Country : US
Telephone Number : 303-321-1333
Fax Number : 303-321-0620
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2006
Last Update Date : 08/06/2025

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Directions to “ EDWARD HUDSON PARKS M.D.” Practice Location

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