Clear Creek Family Practice | |
7615 W 38th Ave Ste B117 Wheat Ridge CO 80033-6172 | |
(303) 232-5354 | |
(303) 239-8878 |
Full Name | Clear Creek Family Practice |
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Speciality | Family Medicine |
Location | 7615 W 38th Ave, Wheat Ridge, Colorado |
Authorized Official Name and Position | Karen Lyna Larson (OWNER PHYSICIAN) |
Authorized Official Contact | 3032325354 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Clear Creek Family Practice 7615 W 38th Ave Ste B117 Wheat Ridge CO 80033-6172 Ph: (303) 232-5354 | Clear Creek Family Practice 7615 W 38th Ave Ste B117 Wheat Ridge CO 80033-6172 Ph: (303) 232-5354 |
NPI Number | 1861486219 |
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Provider Enumeration Date | 08/31/2005 |
Last Update Date | 10/20/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861486219 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 38104 (Colorado) | Primary |
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