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11275 E Mississippi Ave Ste 2s3 Aurora CO 80012-2825 | |
(720) 400-4412 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 11275 E Mississippi Ave Ste 2s3, Aurora, Colorado |
Authorized Official Name and Position | Hana Mengesha (OWNER) |
Authorized Official Contact | 7204004412 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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11275 E Mississippi Ave Ste 2s3 Aurora CO 80012-2825 Ph: (720) 400-4412 | 11275 E Mississippi Ave Ste 2s3 Aurora CO 80012-2825 Ph: (720) 400-4412 |
NPI Number | 1346763448 |
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Provider Enumeration Date | 07/20/2017 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 0244622405 |
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Medicare Enrollment ID | O20220120000094 |
Identifier | Type | State | Issuer |
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1346763448 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Bob S Worley |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1811927510 PECOS PAC ID: 0547160673 Enrollment ID: I20040515000313 |
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