| Identity Hormones Denver | |
|
7305 E 29th Ave Ste 220 Denver CO 80238-2701 | |
| (602) 354-3925 | |
| Not Available |
| Full Name | Identity Hormones Denver |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 7305 E 29th Ave Ste 220, Denver, Colorado |
| Authorized Official Name and Position | Teah Phillips (CREDENTIALING MANAGER) |
| Authorized Official Contact | 9012053999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Identity Hormones Denver 7305 E 29th Ave Ste 220 Denver CO 80238-2701 | Identity Hormones Denver 7305 E 29th Ave Ste 220 Denver CO 80238-2701 Ph: (602) 354-3925 |
| NPI Number | 1174309231 |
|---|---|
| Provider Enumeration Date | 09/05/2023 |
| Last Update Date | 11/13/2023 |
| Certification Date | 11/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174309231 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | () | Primary |
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