| Blue Nile Primary Care, Llc | |
|
11275 E Mississippi Ave Ste 2w2 Aurora CO 80012-3263 | |
| (303) 856-7177 | |
| Not Available |
| Full Name | Blue Nile Primary Care, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 11275 E Mississippi Ave Ste 2w2, Aurora, Colorado |
| Authorized Official Name and Position | Jason A Hicks (PRESIDENT) |
| Authorized Official Contact | 3035520657 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Nile Primary Care, Llc 195 Inverness Dr W Suite 120 Englewood CO 80112-5206 Ph: (303) 552-0657 | Blue Nile Primary Care, Llc 11275 E Mississippi Ave Ste 2w2 Aurora CO 80012-3263 Ph: (303) 856-7177 |
| NPI Number | 1275072472 |
|---|---|
| Provider Enumeration Date | 02/21/2017 |
| Last Update Date | 02/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275072472 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | DR0046896 (Colorado) | Primary |
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