South Denver Gastroenterology, PC
Non-Pharmacy Dispensing Site in Lone Tree, CO. Organization (NPI-2).
NPI number1174391007
StatusActive
Last updated in NPPESDec 20, 2023
Details
- NPI
- 1174391007
- Entity type
- Organization (NPI-2)
- Legal business name
- South Denver Gastroenterology, PC
- Organization subpart
- No
- Enumeration date
- Dec 20, 2023
- Certification date
- Dec 20, 2023
- Last updated
- Dec 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332900000X | Non-Pharmacy Dispensing Site | – | – | Yes |
Practice location
10103 Ridgegate Pkwy Ste 312aLone Tree, CO 80124-5525
Phone 303-788-8888
Mailing address
10 Inverness Dr E Ste 220Englewood, CO 80112-5612
Authorized official
Branden Lish
Ceo
3037888888
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