Most Relevant Information
Provider Data
| NPI Number: | 1003234535 |
| Provider Name: | HEATHER NICOLE ORTH MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: | RS2014-0377 |
Most Important Dates
| Enumeration Date: | 04/02/2014 |
| Last Updated: | 07/21/2022 |
Provider Practice Location
1375 E 19TH AVE
DENVER
CO
802181114
Practice Location Phone/Fax
| Phone: | 3033384545 |
| Fax: |
Provider Mailing Location
10350 E DAKOTA AVE
DENVER
CO
802471314
Provider Mailing Phone/Fax
| Phone: | 3033383382 |
| Fax: |