MEDICARE: COLORADO OB/GYN PARTNERS, PLLC

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
1	207V00000X	Obstetrics & Gynecology Physician

General Provider Information

NPI Number	:	1578187191
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COLORADO OB/GYN PARTNERS, PLLC

Provider Business Mailing Address
First Line	:	9195 GRANT ST STE 410
Second Line	:
City	:	THORNTON
State	:	CO
Zip	:	80229-4388
Country	:	US
Telephone Number	:	303-280-2229
Fax Number	:	303-280-0765

Provider Business Practice Location Address
First Line	:	300 EXEMPLA CIR STE 470
Second Line	:
City	:	LAFAYETTE
State	:	CO
Zip	:	80026-3396
Country	:	US
Telephone Number	:	303-665-6016
Fax Number	:	303-665-0121

Authorized Official
Title or Position	:	PRESIDENT
Name	:	STEPHEN M VOLIN
Credential	:	MD
Telephone Number	:	303-280-2229

Provider Enumeration Date	:	05/29/2020
Last Update Date	:	05/29/2020

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