Provider Demographics
NPI:1447330345
Name:ENGSBERG-RAUZI, HOPE R (MD)
Entity type:Individual
Prefix:DR
First Name:HOPE
Middle Name:R
Last Name:ENGSBERG-RAUZI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 957
Mailing Address - Street 2:
Mailing Address - City:MORRISON
Mailing Address - State:CO
Mailing Address - Zip Code:80465-0957
Mailing Address - Country:US
Mailing Address - Phone:720-273-4596
Mailing Address - Fax:303-697-3448
Practice Address - Street 1:1666 RACE ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-1112
Practice Address - Country:US
Practice Address - Phone:720-273-4596
Practice Address - Fax:303-697-3448
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2013-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO31368207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01313683Medicaid
CO01313683Medicaid
COF33178Medicare UPIN