| |
255 S Routt St Ste 300 Lakewood CO 80228-2354 | |
(720) 321-8920 | |
(720) 321-9401 |
Full Name | |
---|---|
Speciality | Family Medicine - Sports Medicine |
Location | 255 S Routt St Ste 300, Lakewood, Colorado |
Authorized Official Name and Position | Angela Jo Skinner (ADMINISTRATOR OMA) |
Authorized Official Contact | 7206677283 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 800022 Kansas City MO 64180-0022 Ph: (800) 953-0104 | 255 S Routt St Ste 300 Lakewood CO 80228-2354 Ph: (720) 321-8920 |
NPI Number | 1134730252 |
---|---|
Provider Enumeration Date | 08/12/2020 |
Last Update Date | 06/25/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134730252 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Primary |
Comprehensive Behavioral Health Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5300 W Alameda Ave, Lakewood, CO 80226 Phone: 303-885-4774 | |
Lakewood Injury Treatment Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 605 Parfet St, Suite 104, Lakewood, CO 80215 Phone: 303-330-0024 Fax: 303-232-1798 |