| Cmd Professional Provider Network Llc | |
|
7345 S Pierce St Suite 202 Littleton CO 80128-7207 | |
| (720) 837-7593 | |
| Not Available |
| Full Name | Cmd Professional Provider Network Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 7345 S Pierce St, Littleton, Colorado |
| Authorized Official Name and Position | Leslie Coppin (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7208377593 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cmd Professional Provider Network Llc 7345 S Pierce St Suite 202 Littleton CO 80128-7207 Ph: (720) 837-7593 | Cmd Professional Provider Network Llc 7345 S Pierce St Suite 202 Littleton CO 80128-7207 Ph: (720) 837-7593 |
| NPI Number | 1184764771 |
|---|---|
| Provider Enumeration Date | 02/06/2007 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184764771 | NPI | - | NPPES |
| 86484079 | Medicaid | CO | |
| TIN | Other | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |
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