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4891 Independence St Ste 225 Wheat Ridge CO 80033-6849 | |
| (720) 779-1998 | |
| (720) 596-5093 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 4891 Independence St Ste 225, Wheat Ridge, Colorado |
| Authorized Official Name and Position | Amber L Grob (APRN) |
| Authorized Official Contact | 7207791998 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4891 Independence St Ste 225 Wheat Ridge CO 80033-6849 Ph: (720) 779-1998 | 4891 Independence St Ste 225 Wheat Ridge CO 80033-6849 Ph: (720) 779-1998 |
| NPI Number | 1508445123 |
|---|---|
| Provider Enumeration Date | 04/02/2021 |
| Last Update Date | 12/16/2021 |
| Certification Date | 12/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508445123 | NPI | - | NPPES |
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