Organization
SOUTH DENVER PHYSICIANS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DMITRIY I PALES DO (SOLE MEMBER)
(720) 441-4410
Entity
Organization
Contact information
Practice address
13111 E BRIARWOOD AVE, #370, CENTENNIAL, CO 80112
(720) 441-4410
(888) 474-7158
Mailing address
13111 E BRIARWOOD AVE, SUITE #370, CENTENNIAL, CO 80112-3930
(720) 441-4410
(888) 474-7158
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
46797
CO
2084N0400X
Neurology Physician
47080
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148761
—
CO
Enumeration date
05/03/2013
Last updated
03/13/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up