| Centura Health Physician Group Arvada Sports And Family Medicine | |
|
16280 W 64th Ave Arvada CO 80007-7413 | |
| (720) 898-1110 | |
| (720) 898-1113 |
| Full Name | Centura Health Physician Group Arvada Sports And Family Medicine |
|---|---|
| Speciality | Family Medicine - Sports Medicine |
| Location | 16280 W 64th Ave, Arvada, 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 |
|---|---|
| Centura Health Physician Group Arvada Sports And Family Medicine Po Box 911057 Denver CO 80291-1057 Ph: (303) 643-1099 | Centura Health Physician Group Arvada Sports And Family Medicine 16280 W 64th Ave Arvada CO 80007-7413 Ph: (720) 898-1110 |
| NPI Number | 1851799837 |
|---|---|
| Provider Enumeration Date | 12/08/2014 |
| Last Update Date | 04/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851799837 | NPI | - | NPPES |
| 91758271 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Primary |
Arvada Sport And Spine Group Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12189 W 64th Ave Ste 102, Arvada, CO 80004 Phone: 303-424-9549 | |
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Sports And Family Medicine Of Colorado Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6390 Gardenia St Unit 140, Arvada, CO 80004 Phone: 720-898-1110 Fax: 720-898-1113 | |
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