| Foothills Family Practice PC | |
|
850 E Harvard Ave Suite 265 Denver CO 80210-5073 | |
| (303) 986-2274 | |
| (303) 986-2205 |
| Full Name | Foothills Family Practice PC |
|---|---|
| Speciality | Family Medicine |
| Location | 850 E Harvard Ave, Denver, Colorado |
| Authorized Official Name and Position | Michael L Dunn (PRESIDENT) |
| Authorized Official Contact | 3039862274 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Foothills Family Practice PC 850 E Harvard Ave Suite 265 Denver CO 80210-5073 Ph: (303) 986-2274 | Foothills Family Practice PC 850 E Harvard Ave Suite 265 Denver CO 80210-5073 Ph: (303) 986-2274 |
| NPI Number | 1588767446 |
|---|---|
| Provider Enumeration Date | 09/06/2006 |
| Last Update Date | 01/10/2012 |
| Medicare PECOS PAC ID | 2769383306 |
|---|---|
| Medicare Enrollment ID | O20040116000685 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588767446 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Michael L Dunn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922155688 PECOS PAC ID: 1557262037 Enrollment ID: I20040116000971 |
| Provider Name | Jay M Straight |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326121237 PECOS PAC ID: 0143210690 Enrollment ID: I20090309000594 |
| Provider Name | Julia I Rifkin |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1689757296 PECOS PAC ID: 0446393862 Enrollment ID: I20100208000664 |
| Provider Name | Jennifer L Eaton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700229382 PECOS PAC ID: 0648410639 Enrollment ID: I20130716000604 |
| Provider Name | Timothy Russell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417270786 PECOS PAC ID: 4385774108 Enrollment ID: I20131204000395 |
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