Provider Demographics
NPI:1700318482
Name:PINNACLE MEDICAL PARTNERS II, LLC
Entity Type:Organization
Organization Name:PINNACLE MEDICAL PARTNERS II, LLC
Other - Org Name:SOUTH DENVER OB/GYN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGEMENT
Authorized Official - Prefix:
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LENNON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-357-2559
Mailing Address - Street 1:7074 S REVERE PKWY
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-3932
Mailing Address - Country:US
Mailing Address - Phone:303-357-2559
Mailing Address - Fax:
Practice Address - Street 1:236 N WASHINGTON ST
Practice Address - Street 2:SUITE 6E
Practice Address - City:MONUMENT
Practice Address - State:CO
Practice Address - Zip Code:80132-8289
Practice Address - Country:US
Practice Address - Phone:303-738-1100
Practice Address - Fax:303-738-1310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-31
Last Update Date:2017-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty