Basic Information
| Provider Information | |||||||||
| NPI: | 1861544462 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | HILLTOP FAMILY PHYSICIANS | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | HILLTOP FAMILY PHYSICIANS | ||||||||
| OtherOrganizationType: | 4 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 19964 E HILLTOP RD | ||||||||
| Address2: | STE A | ||||||||
| City: | PARKER | ||||||||
| State: | CO | ||||||||
| PostalCode: | 801347313 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3038412212 | ||||||||
| FaxNumber: | 3038414716 | ||||||||
| Practice Location | |||||||||
| Address1: | 19964 E HILLTOP RD | ||||||||
| Address2: | STE A | ||||||||
| City: | PARKER | ||||||||
| State: | CO | ||||||||
| PostalCode: | 801347313 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3038412212 | ||||||||
| FaxNumber: | 3038414716 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/17/2007 | ||||||||
| LastUpdateDate: | 09/30/2010 | ||||||||
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| ProviderGenderCode: | |||||||||
| AuthorizedOfficialLastName: | SOUDERS | ||||||||
| AuthorizedOfficialFirstName: | JENNIFER | ||||||||
| AuthorizedOfficialMiddleName: | L | ||||||||
| AuthorizedOfficialTitleorPosition: | OFFICE MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 3038412212 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | CMPE | ||||||||
| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.