Provider Demographics
NPI:1982806576
Name:O'ROURKE, PAUL TERRENCE (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:TERRENCE
Last Name:O'ROURKE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:TERRY
Other - Middle Name:
Other - Last Name:O'ROURKE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:3512 W DAVID LN
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80917-5845
Mailing Address - Country:US
Mailing Address - Phone:303-804-8228
Mailing Address - Fax:303-804-8182
Practice Address - Street 1:188 INVERNESS DRIVE W
Practice Address - Street 2:SUITE 500
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80112
Practice Address - Country:US
Practice Address - Phone:303-804-8228
Practice Address - Fax:303-804-8182
Is Sole Proprietor?:No
Enumeration Date:2007-06-05
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI28698208600000X
CO20015208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery