# ROCKY MOUNTAIN PEDIATRIC PULMONOLOGY PC

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

## Provider details

- **NPI number:** 1356526776
- **Authorized official:** LEE RUSAKOW MD (MD)
- **Authorized official phone:** (303) 831-9853

## Contact information

- **Practice address:** 4545 E 9TH AVE STE 375, DENVER, CO 80220-3987
- **Practice address phone:** (303) 831-9853
- **Mailing address:** 4545 E 9TH AVE STE 375, DENVER, CO 80220-3987

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | Yes |
| 207RP1001X | Pulmonary Disease Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/03/2008
- **Last updated:** 01/03/2008