| 20 Mile Family Medicine | |
|
11355 S Parker Rd Ste 103 Parker CO 80134-7403 | |
| (303) 974-7210 | |
| Not Available |
| Full Name | 20 Mile Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 11355 S Parker Rd Ste 103, Parker, Colorado |
| Authorized Official Name and Position | Stephen Craig Morrison (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7209747210 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 20 Mile Family Medicine 11355 S Parker Rd Ste 103 Parker CO 80134-7403 Ph: (303) 974-7210 | 20 Mile Family Medicine 11355 S Parker Rd Ste 103 Parker CO 80134-7403 Ph: (303) 974-7210 |
| NPI Number | 1013031400 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 09/23/2010 |
| Medicare PECOS PAC ID | 2062516909 |
|---|---|
| Medicare Enrollment ID | O20080822000230 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013031400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 41775 (Colorado) | Primary |
| Provider Name | Stephen C Morrison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104901180 PECOS PAC ID: 8628172574 Enrollment ID: I20070402000548 |
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