Alpine Family Practice P.c. | |
1400 S Potomac St Suite # 130 Aurora CO 80012-4528 | |
(303) 752-1157 | |
(303) 752-1236 |
Full Name | Alpine Family Practice P.c. |
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Speciality | Family Medicine |
Location | 1400 S Potomac St, Aurora, Colorado |
Authorized Official Name and Position | Quinn Lichfield (PRESIDENT) |
Authorized Official Contact | 3037521157 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Alpine Family Practice P.c. 1400 S Potomac St Suite # 130 Aurora CO 80012-4528 Ph: (303) 752-1157 | Alpine Family Practice P.c. 1400 S Potomac St Suite # 130 Aurora CO 80012-4528 Ph: (303) 752-1157 |
NPI Number | 1750355210 |
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Provider Enumeration Date | 02/13/2006 |
Last Update Date | 11/17/2010 |
Medicare PECOS PAC ID | 3072405265 |
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Medicare Enrollment ID | O20040324001702 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750355210 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Dena J Lichfield |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1952375545 PECOS PAC ID: 7214126515 Enrollment ID: I20110118000390 |
Provider Name | Quinn T Lichfield |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1770557357 PECOS PAC ID: 0345132536 Enrollment ID: I20121026000258 |
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