# ROCKY MOUNTAIN PEDIATRIC UROLOGY, PC

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

## Provider details

- **NPI number:** 1568087682
- **Authorized official:** DR. PETER FURNESS MD (PRESIDENT/PHYSICIAN)
- **Authorized official phone:** (303) 839-7200

## Contact information

- **Practice address:** 575 RIVERGATE UNIT 109, DURANGO, CO 81301-7488
- **Practice address phone:** (303) 839-7200
- **Practice address fax:** (303) 839-7229
- **Mailing address:** 1601 E 19TH AVE STE 6400, DENVER, CO 80218-1294
- **Mailing address phone:** (303) 839-7200
- **Mailing address fax:** (303) 839-7229

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2088P0231X | Pediatric Urology Physician | — | NULL | Yes |
| 2088P0231X | Pediatric Urology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/15/2020
- **Last updated:** 06/15/2020