Provider Demographics
NPI:1285100685
Name:SUN TREE PALLIATIVE CARE AND PHYSICIAN SERVICES LLC
Entity type:Organization
Organization Name:SUN TREE PALLIATIVE CARE AND PHYSICIAN SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:POJAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-435-2173
Mailing Address - Street 1:3090 S JAMAICA CT STE 313
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-2628
Mailing Address - Country:US
Mailing Address - Phone:720-336-8770
Mailing Address - Fax:
Practice Address - Street 1:3090 S JAMAICA CT STE 313
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-2628
Practice Address - Country:US
Practice Address - Phone:720-336-8770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-23
Last Update Date:2018-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Single Specialty