Provider Demographics
NPI:1467976415
Name:ENDEAVOR HEALTH AND PRACTICE MANAGEMENT
Entity Type:Organization
Organization Name:ENDEAVOR HEALTH AND PRACTICE MANAGEMENT
Other - Org Name:INTEGRATED SLEEP DIAGNOSTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:PANCROFT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-500-7795
Mailing Address - Street 1:837 S COLUMBINE ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-4710
Mailing Address - Country:US
Mailing Address - Phone:720-301-1968
Mailing Address - Fax:
Practice Address - Street 1:837 S COLUMBINE ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209-4710
Practice Address - Country:US
Practice Address - Phone:720-301-1968
Practice Address - Fax:720-301-1968
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-01
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic