Organization
SOUTH DENVER INFECTIOUS DISEASE SPECIALISTS PC
Active
Organization
SOUTH DENVER INFECTIOUS DISEASE SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURIE B BLACKWOOD (PRACTICE ADMINISTRATOR)
(303) 788-5900
Entity
Organization
Contact information
Practice address
601 E HAMPDEN AVE, SUITE # 340, ENGLEWOOD, CO 80113-3781
(303) 788-5900
(303) 788-5922
Mailing address
601 E HAMPDEN AVE, SUITE # 340, ENGLEWOOD, CO 80113-3781
(303) 788-5900
(303) 788-5922
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04011003
—
CO
01
—
CE8711
RR MEDICARE PIN
CO
Enumeration date
09/26/2006
Last updated
09/12/2008
Update your record
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