Provider Demographics
NPI:1922103720
Name:FOOTHILLS UROGYNECOLOGY, P. C.
Entity Type:Organization
Organization Name:FOOTHILLS UROGYNECOLOGY, P. C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:S
Authorized Official - Last Name:DUNN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-282-0006
Mailing Address - Street 1:850 E HARVARD AVE
Mailing Address - Street 2:SUITE 475
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-5073
Mailing Address - Country:US
Mailing Address - Phone:303-282-0006
Mailing Address - Fax:303-282-0066
Practice Address - Street 1:850 E HARVARD AVE
Practice Address - Street 2:SUITE 475
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-5073
Practice Address - Country:US
Practice Address - Phone:303-282-0006
Practice Address - Fax:303-282-0066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COD35606Medicare UPIN
COC806221Medicare PIN