Provider Demographics
NPI:1033399191
Name:DENVER SOUTH INTRAOPERATIVE MONITORING
Entity Type:Organization
Organization Name:DENVER SOUTH INTRAOPERATIVE MONITORING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:R
Authorized Official - Last Name:CALLEJAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-339-1499
Mailing Address - Street 1:390 INTERLOCKEN CRES
Mailing Address - Street 2:SUITE 890
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80021-8038
Mailing Address - Country:US
Mailing Address - Phone:720-407-2700
Mailing Address - Fax:303-339-1498
Practice Address - Street 1:390 INTERLOCKEN CRES
Practice Address - Street 2:SUITE 890
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80021-8038
Practice Address - Country:US
Practice Address - Phone:720-407-2700
Practice Address - Fax:303-339-1498
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PRONERVE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-11-06
Last Update Date:2007-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherGroup - Single Specialty