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275 S Aspen St Stop 89 Aurora CO 80011-9562 | |
(720) 277-9493 | |
Not Available |
Full Name | |
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Speciality | Clinic/center |
Location | 275 S Aspen St Stop 89, Aurora, Colorado |
Authorized Official Name and Position | Pamela Renee Parks (DIRECTOR, QM/RM/MSM) |
Authorized Official Contact | 7202779493 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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275 S Aspen St Stop 89 Aurora CO 80011-9562 Ph: (720) 277-9493 | 275 S Aspen St Stop 89 Aurora CO 80011-9562 Ph: (720) 277-9493 |
NPI Number | 1174507420 |
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Provider Enumeration Date | 11/30/2005 |
Last Update Date | 12/14/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174507420 | NPI | - | NPPES |
1932206786 | Other | CO | NPPES |
06-16790 | Other | CO | NCPDP |
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