Organization
OBSTETRIX MEDICAL GROUP OF COLORADO, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN PITZER (ASSISTANT SECRETARY)
(800) 243-3839
Entity
Organization
Contact information
Practice address
100 HEALTH PARK DR, LOUISVILLE, CO 80027-9583
(303) 673-1000
Mailing address
4722 N 24TH ST STE 150, PHOENIX, AZ 85016-4860
(877) 737-4546
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
—
—
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
363LN0000X
Neonatal Nurse Practitioner
—
—
364SW0102X
Women's Health Clinical Nurse Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32105088
—
CO
Enumeration date
06/01/2020
Last updated
11/02/2023
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