Provider Demographics
NPI:1013105519
Name:DR. D. J. STRICKLAND, PC
Entity Type:Organization
Organization Name:DR. D. J. STRICKLAND, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:DARWIN
Authorized Official - Middle Name:
Authorized Official - Last Name:STRICKLAND
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:303-428-7509
Mailing Address - Street 1:9669 HURON ST STE 202
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80260-5669
Mailing Address - Country:US
Mailing Address - Phone:303-428-7509
Mailing Address - Fax:303-429-0032
Practice Address - Street 1:9669 HURON ST STE 202
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80260-5669
Practice Address - Country:US
Practice Address - Phone:303-428-7509
Practice Address - Fax:303-429-0032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-09
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO15236261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
COCJ7008Medicare PIN