Organization
SOUTH DENVER OBSTETRICS & GYNECOLOGY PC
Active
Organization
SOUTH DENVER OBSTETRICS & GYNECOLOGY PC
Active
Other names
South Denver OBGYN & Midwives
Organization subpart
No
Provider details
NPI number
Authorized official
CANDICE R CHACON-JARAMILLO (CREDENTIALING SPECIALIST)
(720) 439-2456
Entity
Organization
Contact information
Practice address
7780 S BROADWAY STE 280, LITTLETON, CO 80122-2633
(303) 738-1100
(303) 738-1310
Mailing address
8055 E TUFTS AVE STE 230, DENVER, CO 80237-2854
(720) 439-2456
(720) 572-5112
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
—
—
207VX0000X
Obstetrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04014965
—
CO
Enumeration date
03/22/2006
Last updated
06/11/2019
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