| 5th Ave Family Practice & Cosmetics Pllc | |
|
2044 Clinton St Unit B Aurora CO 80010-1003 | |
| (303) 360-7472 | |
| Not Available |
| Full Name | 5th Ave Family Practice & Cosmetics Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2044 Clinton St, Aurora, Colorado |
| Authorized Official Name and Position | Priscilla Owusu-frimpong (OWNER) |
| Authorized Official Contact | 3033607472 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 5th Ave Family Practice & Cosmetics Pllc 2044 Clinton St Unit B Aurora CO 80010-1003 Ph: (303) 360-7472 | 5th Ave Family Practice & Cosmetics Pllc 2044 Clinton St Unit B Aurora CO 80010-1003 Ph: (303) 360-7472 |
| NPI Number | 1346775343 |
|---|---|
| Provider Enumeration Date | 04/27/2017 |
| Last Update Date | 10/31/2017 |
| Medicare PECOS PAC ID | 6800154246 |
|---|---|
| Medicare Enrollment ID | O20171213000946 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346775343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DR.0057175 (Colorado) | Primary |
| Provider Name | Priscilla Owusu-frimpong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487044640 PECOS PAC ID: 0345537379 Enrollment ID: I20160920000255 |
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