Provider Demographics
NPI:1962657841
Name:DAVID DRUCKER, MD, PC
Entity Type:Organization
Organization Name:DAVID DRUCKER, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BECKY
Authorized Official - Middle Name:
Authorized Official - Last Name:GARFIT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-293-9311
Mailing Address - Street 1:1255 19TH ST
Mailing Address - Street 2:STE. 101
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80202-1459
Mailing Address - Country:US
Mailing Address - Phone:303-293-9311
Mailing Address - Fax:303-297-7516
Practice Address - Street 1:1255 19TH ST
Practice Address - Street 2:STE. 101
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80202-1459
Practice Address - Country:US
Practice Address - Phone:303-293-9311
Practice Address - Fax:303-297-7516
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-19
Last Update Date:2008-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO20580207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO04011623Medicaid