# SOUTH DENVER GASTROENTEROLOGY, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205432507
- **Authorized official:** RICHARD M ROMAN MD (PRESIDENT)
- **Authorized official phone:** (303) 788-8888

## Contact information

- **Practice address:** 3911 AMBROSIA ST STE 201, CASTLE ROCK, CO 80109-3888
- **Practice address phone:** (303) 788-8888
- **Practice address fax:** (844) 347-5158
- **Mailing address:** 3911 AMBROSIA ST STE 201, CASTLE ROCK, CO 80109-3888
- **Mailing address phone:** (303) 788-8888
- **Mailing address fax:** (844) 347-5158

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | — | NULL | Yes |
| 207RG0100X | Gastroenterology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/10/2020
- **Last updated:** 08/09/2023
