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NPI Code Detail

MEDICARE: OBSTETRIX MEDICAL GROUP OF COLORADO, P.C.

MEDICARE: OBSTETRIX MEDICAL GROUP OF COLORADO, P.C.
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
1208000000XPediatrics Physician
22080P0205XPediatric Endocrinology Physician
32080P0208XPediatric Infectious Diseases Physician
42084N0402XNeurology with Special Qualifications in Child Neurology Physician
52084P0804XChild & Adolescent Psychiatry Physician
62080P0008XPediatric Neurodevelopmental Disabilities Physician

Other Identifiers

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

General Provider Information

NPI Number : 1487378212
Entity Type Code : Organization
Provider Name (Legal Business Name) : OBSTETRIX MEDICAL GROUP OF COLORADO, P.C.
Provider Business Mailing Address
First Line : 1301 CONCORD TER
Second Line :
City : SUNRISE
State : FL
Zip : 33323-2843
Country : US
Telephone Number : 800-243-3839
Fax Number :
Provider Business Practice Location Address
First Line : 2055 N HIGH ST STE 210
Second Line :
City : DENVER
State : CO
Zip : 80205-5507
Country : US
Telephone Number : 800-243-3839
Fax Number :
Authorized Official
Title or Position : ASSISTANT SECRETARY
Name : LINDA CHEN
Credential :
Telephone Number : 800-243-3839
Provider Enumeration Date : 09/26/2022
Last Update Date : 06/10/2024

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