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611 Mitchell Way Ste 103 Erie CO 80516-5443 | |
(303) 269-2780 | |
(303) 269-2790 |
Full Name | |
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Speciality | Family Medicine |
Location | 611 Mitchell Way Ste 103, Erie, Colorado |
Authorized Official Name and Position | Angie J Skinner (ADMINISTRATOR, OMA) |
Authorized Official Contact | 3036737175 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 801106 Kansas City MO 64180-1106 Ph: (800) 953-0104 | 611 Mitchell Way Ste 103 Erie CO 80516-5443 Ph: (303) 269-2780 |
NPI Number | 1124323076 |
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Provider Enumeration Date | 01/24/2011 |
Last Update Date | 09/16/2020 |
Identifier | Type | State | Issuer |
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1124323076 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
Boulder Medical Center, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 89 S Briggs St Ste 105, Erie, CO 80516 Phone: 303-673-0448 | |
Valar Medical Services, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 671 Mitchell Way Ste 210, Erie, CO 80516 Phone: 720-260-4634 | |
Boulder Community Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Erie Pkwy Ste 201h, Erie, CO 80516 Phone: 303-442-2395 |