| Table Mountain Family Medicine | |
|
110 N Rubey Dr Unit 200 Golden CO 80403-3201 | |
| (303) 376-0975 | |
| (303) 731-3500 |
| Full Name | Table Mountain Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 110 N Rubey Dr Unit 200, Golden, Colorado |
| Authorized Official Name and Position | Rhonda Heckard (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 3037634900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Table Mountain Family Medicine 1707 Cole Blvd Ste 100 Golden CO 80401-3219 Ph: (303) 763-4900 | Table Mountain Family Medicine 110 N Rubey Dr Unit 200 Golden CO 80403-3201 Ph: (303) 376-0975 |
| NPI Number | 1336808492 |
|---|---|
| Provider Enumeration Date | 12/15/2021 |
| Last Update Date | 08/03/2022 |
| Certification Date | 08/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336808492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
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