Provider Demographics
NPI:1891796199
Name:SOFFER, PATRICIA (MD)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:SOFFER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2005 FRANKLIN ST
Mailing Address - Street 2:BLDG 1 SUITE 220
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80205-5401
Mailing Address - Country:US
Mailing Address - Phone:303-832-9277
Mailing Address - Fax:303-832-6825
Practice Address - Street 1:2005 FRANKLIN ST
Practice Address - Street 2:BLDG 1 SUITE 220
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205-5401
Practice Address - Country:US
Practice Address - Phone:303-832-9277
Practice Address - Fax:303-832-6825
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-09
Last Update Date:2010-09-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO259502084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01259506Medicaid
CO130003012OtherRAILROAD MEDICARE
CO130003012OtherRAILROAD MEDICARE
COE05971Medicare UPIN