Provider Demographics
NPI:1700920352
Name:PHYSICIANS MEDICAL MANAGEMENT PROFESSIONALS
Entity Type:Organization
Organization Name:PHYSICIANS MEDICAL MANAGEMENT PROFESSIONALS
Other - Org Name:ARBOR OCCUPATIONAL MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP OF FINANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:CURTIS
Authorized Official - Middle Name:
Authorized Official - Last Name:STEPAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-447-5522
Mailing Address - Street 1:290 NICKEL ST
Mailing Address - Street 2:#200
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80020-2183
Mailing Address - Country:US
Mailing Address - Phone:303-460-9339
Mailing Address - Fax:303-460-7443
Practice Address - Street 1:290 NICKEL ST
Practice Address - Street 2:#200
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80020-2183
Practice Address - Country:US
Practice Address - Phone:303-460-9339
Practice Address - Fax:303-460-7443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty