Provider Demographics
NPI:1205860574
Name:RUMSFELD, JOHN S (MD, PHD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:S
Last Name:RUMSFELD
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1055 CLERMONT ST
Mailing Address - Street 2:CARDIOLOGY (111B), DENVER VAMC
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-3808
Mailing Address - Country:US
Mailing Address - Phone:303-370-7575
Mailing Address - Fax:303-370-7580
Practice Address - Street 1:1055 CLERMONT ST
Practice Address - Street 2:CARDIOLOGY (111B), DENVER VAMC
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-3808
Practice Address - Country:US
Practice Address - Phone:303-370-7575
Practice Address - Fax:303-370-7580
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO33498207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease