| Msk Medical Llc | |
|
1 Broadway A-100 Denver CO 80203-3959 | |
| (303) 455-6345 | |
| (303) 455-6343 |
| Full Name | Msk Medical Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1 Broadway, Denver, Colorado |
| Authorized Official Name and Position | W Rafer Leach (OWNER) |
| Authorized Official Contact | 3038708870 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Msk Medical Llc 1 Broadway A-100 Denver CO 80203-3959 Ph: (303) 455-6345 | Msk Medical Llc 1 Broadway A-100 Denver CO 80203-3959 Ph: (303) 455-6345 |
| NPI Number | 1275943201 |
|---|---|
| Provider Enumeration Date | 04/29/2014 |
| Last Update Date | 04/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275943201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 38790 (Colorado) | Primary |
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