| Noco Newco, LLC | |
|
1300 Main St Windsor CO 80550-5989 | |
| (970) 686-5646 | |
| Not Available |
| Full Name | Noco Newco, LLC |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1300 Main St, Windsor, Colorado |
| Authorized Official Name and Position | Dennis Laraway (CFO) |
| Authorized Official Contact | 6027474000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Noco Newco, LLC 2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 | Noco Newco, LLC 1300 Main St Windsor CO 80550-5989 Ph: (970) 686-5646 |
| NPI Number | 1518439223 |
|---|---|
| Provider Enumeration Date | 12/19/2018 |
| Last Update Date | 12/19/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518439223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
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