Provider Demographics
NPI:1982988929
Name:PHYSIATRY CONSULTANTS OF COLORADO, PC
Entity Type:Organization
Organization Name:PHYSIATRY CONSULTANTS OF COLORADO, PC
Other - Org Name:INTERWEST REHABILITATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERASMUS
Authorized Official - Middle Name:
Authorized Official - Last Name:MORFE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:303-738-1900
Mailing Address - Street 1:2980 N BEVERLY GLEN CIR
Mailing Address - Street 2:SUITE 301
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90077-1726
Mailing Address - Country:US
Mailing Address - Phone:310-474-9809
Mailing Address - Fax:
Practice Address - Street 1:7720 S BROADWAY
Practice Address - Street 2:SUITE 200
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80122-2632
Practice Address - Country:US
Practice Address - Phone:303-738-1900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PHYSIATRY CONSULTANTS OF COLORADO, PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-10-10
Last Update Date:2011-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site