| Presbyterian Denver Ekg | |
|
1719 E 19th Ave Denver CO 80218-1235 | |
| (720) 917-7052 | |
| Not Available |
| Full Name | Presbyterian Denver Ekg |
|---|---|
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 1719 E 19th Ave, Denver, Colorado |
| Authorized Official Name and Position | Frederick Miller (MANAGING PARTNER) |
| Authorized Official Contact | 7209177052 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Presbyterian Denver Ekg 3464 S Willow St 176 Denver CO 80231-4531 Ph: (303) 755-2900 | Presbyterian Denver Ekg 1719 E 19th Ave Denver CO 80218-1235 Ph: (720) 917-7052 |
| NPI Number | 1750349064 |
|---|---|
| Provider Enumeration Date | 05/03/2006 |
| Last Update Date | 03/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750349064 | NPI | - | NPPES |
| CQ5074 | Other | CO | RAILROAD MEDICARE |
| 04004230 | Medicaid | CO | |
| PRS1008 | Other | CO | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | () | Primary |
| 208000000X | Pediatrics | () | Secondary |
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