Provider Demographics
NPI:1477363174
Name:ROSENBAUGH, MEG
Entity type:Individual
Prefix:
First Name:MEG
Middle Name:
Last Name:ROSENBAUGH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6451 E EASTMAN AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-7404
Mailing Address - Country:US
Mailing Address - Phone:720-273-8701
Mailing Address - Fax:
Practice Address - Street 1:7505 E 35TH AVE UNIT 360
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80238-2463
Practice Address - Country:US
Practice Address - Phone:303-378-6039
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-13
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.1000042-NP208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics