MEDICARE: DAVID A TARYLE 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
1	207RP1001X	Pulmonary Disease Physician	18705	CO
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	18705	CO
3	207R00000X	Internal Medicine Physician	18705	CO

Other Identifiers

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

General Provider Information

NPI Number	:	1780688200
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID A TARYLE M.D.

Provider Business Mailing Address
First Line	:	1400 JACKSON ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80206-2761
Country	:	US
Telephone Number	:	303-788-8500
Fax Number	:	303-788-8505

Provider Business Practice Location Address
First Line	:	499 E HAMPDEN AVE
Second Line	:	STE 300
City	:	ENGLEWOOD
State	:	CO
Zip	:	80113-2793
Country	:	US
Telephone Number	:	303-788-8500
Fax Number	:	303-788-8505

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	11/11/2020

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Directions to “ DAVID A TARYLE M.D.” Practice Location

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