Provider Demographics
NPI:1083765671
Name:MIDTOWN OCCUPATIONAL HEALTH SERVICES,PC
Entity Type:Organization
Organization Name:MIDTOWN OCCUPATIONAL HEALTH SERVICES,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAM
Authorized Official - Middle Name:
Authorized Official - Last Name:CLATTERBUCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-831-9393
Mailing Address - Street 1:2420 W 26TH AVE STE 200D
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-5303
Mailing Address - Country:US
Mailing Address - Phone:303-831-9393
Mailing Address - Fax:303-831-6335
Practice Address - Street 1:2420 W 26TH AVE STE 200D
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-5303
Practice Address - Country:US
Practice Address - Phone:303-831-9393
Practice Address - Fax:303-831-6335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO261QX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine