| Park Ridge Family Medicine | |
|
9695 S Yosemite St Ste 324 Lone Tree CO 80124-2890 | |
| (303) 706-9054 | |
| (303) 302-9799 |
| Full Name | Park Ridge Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 9695 S Yosemite St Ste 324, Lone Tree, 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 |
|---|---|
| Park Ridge Family Medicine 1707 Cole Blvd Ste 100 Golden CO 80401-3219 Ph: (303) 763-4900 | Park Ridge Family Medicine 9695 S Yosemite St Ste 324 Lone Tree CO 80124-2890 Ph: (303) 706-9054 |
| NPI Number | 1972111979 |
|---|---|
| Provider Enumeration Date | 07/16/2020 |
| Last Update Date | 08/03/2022 |
| Certification Date | 08/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972111979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
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