Magnolia Medical Group | |
1490 N Lafayette St Ste 104 Denver CO 80218-2391 | |
(303) 209-5115 | |
Not Available |
Full Name | Magnolia Medical Group |
---|---|
Speciality | Internal Medicine - Addiction Medicine |
Location | 1490 N Lafayette St Ste 104, Denver, Colorado |
Authorized Official Name and Position | Pradeep Rai (DIRECTOR) |
Authorized Official Contact | 3032095115 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Magnolia Medical Group 2925 E Colfax Ave Denver CO 80206-1604 Ph: (303) 209-5115 | Magnolia Medical Group 1490 N Lafayette St Ste 104 Denver CO 80218-2391 Ph: (303) 209-5115 |
NPI Number | 1003672619 |
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Provider Enumeration Date | 02/22/2024 |
Last Update Date | 02/22/2024 |
Certification Date | 02/22/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003672619 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
207RA0401X | Internal Medicine - Addiction Medicine | (* (Not Available)) | Primary |
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