Organization
PLANNED PARENTHOOD OF THE ROCKY MOUNTAINS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARISSA HERRERA (CREDENTIALING MANAGER)
(505) 944-2021
Entity
Organization
Contact information
Practice address
730 SAINT MICHAELS DR # 4B, SANTA FE, NM 87505-7606
(505) 982-3684
(505) 982-7204
Mailing address
7155 E 38TH AVE, DENVER, CO 80207-1630
(505) 944-2021
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
261QA0005X
Ambulatory Family Planning Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47271
—
NM
Enumeration date
11/21/2019
Last updated
08/09/2024
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