OrganizationActive
Identity Hormones Co LLC
NPI 1174309231 · Adult Medicine Physician · Denver, CO
Provider details
- NPI number
- 1174309231
- Entity type
- Organization
- Primary specialty
- Adult Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Teah Phillips, Credentialing Manager(901) 205-3999
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
7305 E 29th Ave Ste 220
Denver, CO 80238-2701
Phone: (602) 354-3925
Approximate (ZIP-level) locationGet directions
Mailing address
7305 E 29th Ave Ste 220
Denver, CO 80238-2701
Other names (DBA / former)
- Doing business as
- Identity Hormones Denver
- Doing business as
- Identity Hormones Denver
Registry dates
- Enumerated
- 2023-09-05
- Last updated
- 2023-11-13
- Certified
- 2023-11-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.