# CARDIOVASCULAR SURGICAL PROF LLC

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

## Provider details

- **NPI number:** 1699972380
- **Authorized official:** RICHARD K PARKER M.D. (PHYSICIAN-OWNER)
- **Authorized official phone:** (303) 861-8158

## Contact information

- **Practice address:** 1601 E 19TH AVE, SUITE 5000, DENVER, CO 80218-1216
- **Practice address phone:** (303) 861-8158
- **Practice address fax:** (303) 861-0939
- **Mailing address:** 1601 E 19TH AVE, SUITE 5000, DENVER, CO 80218-1216
- **Mailing address phone:** (303) 861-8158
- **Mailing address fax:** (303) 861-0939

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/27/2007
- **Last updated:** 04/23/2008