Provider Demographics
NPI:1386825743
Name:RICHARD G ASARCH MD PC
Entity Type:Organization
Organization Name:RICHARD G ASARCH MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:G
Authorized Official - Last Name:ASARCH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-761-7797
Mailing Address - Street 1:3701 S CLARKSON ST
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-3958
Mailing Address - Country:US
Mailing Address - Phone:303-761-7797
Mailing Address - Fax:303-789-2995
Practice Address - Street 1:3701 S CLARKSON ST
Practice Address - Street 2:4TH FLOOR
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-3958
Practice Address - Country:US
Practice Address - Phone:303-761-7797
Practice Address - Fax:303-789-2995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-14
Last Update Date:2012-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COCL9308Medicare PIN