# MOUNTAIN RHEUMATOLOGY INFUSION CENTER LLC

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

## Provider details

- **NPI number:** 1972636553
- **Authorized official:** DAVID KORMAN MD (PRESIDENT)
- **Authorized official phone:** (303) 861-2190

## Contact information

- **Practice address:** 4500 E 9TH AVE, SUITE 500S, DENVER, CO 80220-3900
- **Practice address phone:** (303) 861-2190
- **Practice address fax:** (303) 355-4435
- **Mailing address:** 4500 E 9TH AVE, SUITE 500S, DENVER, CO 80220-3900
- **Mailing address phone:** (303) 861-2190
- **Mailing address fax:** (303) 355-4435

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RR0500X | Rheumatology Physician | 36976 | CO | Yes |
| 207RR0500X | Rheumatology Physician | 43456 | CO | — |

## Other

- **Enumeration date:** 03/13/2007
- **Last updated:** 08/22/2020