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SOUTH DENVER PHYSICIANS PLLC NPI 1124463161

NPI Profile

NPI: 1124463161

Provider Name: SOUTH DENVER PHYSICIANS PLLC

Classification: Psychiatry & Neurology - 2084N0400X

Entity Type: Organization

Specialization: Neurology

Address:
13111 E BRIARWOOD AVE
#370
CENTENNIAL, CO
ZIP 80112

Phone: (720) 441-4410

SOUTH DENVER PHYSICIANS PLLC is a neurologist in Centennial, CO. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. SOUTH DENVER PHYSICIANS PLLC NPI is 1124463161. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

13111 E BRIARWOOD AVE
#370
CENTENNIAL, CO
ZIP 80112
Phone: (720) 441-4410
Fax: (888) 474-7158

The provider's authorized official is Dmitriy I Pales .
The authorized official title is Sole Member and has the following contact phone number (720) 441-4410.

The enumeration date for this NPI number is 5/3/2013 and was last updated on 3/13/2014.

Map - Location of Practice

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 2084N0400X Psychiatry & Neurology Neurology 47080 COLORADO No
2 207R00000X Internal Medicine 46797 COLORADO Yes

What is NPI?
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 6/10/2015