| Cmg Primary Care Evergreen | |
|
32214 Ellingwood Trl Ste 210 Evergreen CO 80439-9719 | |
| (303) 679-2020 | |
| (303) 670-2160 |
| Full Name | Cmg Primary Care Evergreen |
|---|---|
| Speciality | Family Medicine |
| Location | 32214 Ellingwood Trl Ste 210, Evergreen, 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 |
|---|---|
| Cmg Primary Care Evergreen Po Box 800022 Kansas City MO 64180-0022 Ph: (800) 953-0104 | Cmg Primary Care Evergreen 32214 Ellingwood Trl Ste 210 Evergreen CO 80439-9719 Ph: (303) 679-2020 |
| NPI Number | 1467064964 |
|---|---|
| Provider Enumeration Date | 08/18/2020 |
| Last Update Date | 06/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467064964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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