| |
9100 E Mineral Cir Fl 2 Centennial CO 80112-3401 | |
(303) 673-8075 | |
(303) 649-7156 |
Full Name | |
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Speciality | Family Medicine |
Location | 9100 E Mineral Cir Fl 2, Centennial, Colorado |
Authorized Official Name and Position | Angela 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 911057 Denver CO 80291-1057 Ph: (888) 269-7001 | 9100 E Mineral Cir Fl 2 Centennial CO 80112-3401 Ph: (303) 673-8075 |
NPI Number | 1790295087 |
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Provider Enumeration Date | 10/02/2017 |
Last Update Date | 10/02/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790295087 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (Colorado) | Primary |
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