| 460th Medical Group | |
|
275 S Aspen St Stop 89 Aurora CO 80011-9562 | |
| (720) 277-9493 | |
| Not Available |
| Full Name | 460th Medical Group |
|---|---|
| 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 |
|---|---|
| 460th Medical Group 275 S Aspen St Stop 89 Aurora CO 80011-9562 Ph: (720) 277-9493 | 460th Medical Group 275 S Aspen St Stop 89 Aurora CO 80011-9562 Ph: (720) 277-9493 |
| NPI Number | 1174507420 |
|---|---|
| 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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