| |
1630 Carr St Lakewood CO 80214-5985 | |
(800) 766-4255 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 1630 Carr St, Lakewood, Colorado |
Authorized Official Name and Position | April Audain (CHIEF FINANICAL OFFICER) |
Authorized Official Contact | 3036024965 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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777 Bannock St # Mc1923 Denver CO 80204-4507 Ph: (303) 436-6000 | 1630 Carr St Lakewood CO 80214-5985 Ph: (800) 766-4255 |
NPI Number | 1386209286 |
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Provider Enumeration Date | 05/06/2019 |
Last Update Date | 01/15/2025 |
Identifier | Type | State | Issuer |
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1386209286 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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