Organization
COLORADO HEART CLINIC PROFESSIONAL LLC
Active
Parent organization
COLORADO HEART CLINIC PROFESSIONAL LLC
Other names
Dr Tracy Paeschke & Dr Vito Calandro
Organization subpart
Yes
Provider details
NPI number
Legal business name
COLORADO HEART CLINIC PROFESSIONAL LLC
Authorized official
MRS. BRENDA S FOX (INSURANCE BILLER)
(303) 778-1171
Entity
Organization
Contact information
Practice address
850 E HARVARD AVE, STE 365, DENVER, CO 80210-5076
(303) 778-1171
(303) 778-1674
Mailing address
850 E HARVARD AVE, STE 365, DENVER, CO 80210-5076
(303) 778-1171
(303) 778-1674
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
41133
CO
207RC0000X
Cardiovascular Disease Physician
41162
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11827238
—
CO
01
—
41133
DR VITO CALANDRO
CO
01
—
41162
DR TRACY PAESCHKE
CO
05
—
95178732
—
CO
Enumeration date
07/20/2006
Last updated
10/11/2013
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