Provider Demographics
NPI:1194997932
Name:ROCK INTERNAL MEDICINE PC
Entity type:Organization
Organization Name:ROCK INTERNAL MEDICINE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:A
Authorized Official - Last Name:ORAZI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-688-5025
Mailing Address - Street 1:PO BOX 883
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104-0883
Mailing Address - Country:US
Mailing Address - Phone:303-688-5025
Mailing Address - Fax:303-688-5029
Practice Address - Street 1:1189 S PERRY ST
Practice Address - Street 2:SUITE 230
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80104-1959
Practice Address - Country:US
Practice Address - Phone:303-688-5025
Practice Address - Fax:303-688-5029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-01
Last Update Date:2008-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO44409261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center