Individual
ROSS TANICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1700 N MARION ST, DENVER, CO 80218-1121
(303) 860-7770
(303) 860-7775
Mailing address
1700 N MARION ST, DENVER, CO 80218-1121
(303) 860-7770
(303) 860-7775
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
207Q00000X
Family Medicine Physician
Primary
DR.0071997
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
UNKNOWN
—
CO
Enumeration date
08/23/2013
Last updated
09/03/2025
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