| |
255 Union Blvd Ste 360 Lakewood CO 80228-1859 | |
(303) 237-2779 | |
(303) 237-4428 |
Full Name | |
---|---|
Speciality | Family Medicine |
Location | 255 Union Blvd Ste 360, Lakewood, Colorado |
Authorized Official Name and Position | Kerry Doyle (CREDENTIALING SUPERVISOR) |
Authorized Official Contact | 7207285170 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
999 17th St Ste 500 Denver CO 80202-2728 Ph: (720) 728-5170 | 255 Union Blvd Ste 360 Lakewood CO 80228-1859 Ph: (303) 237-2779 |
NPI Number | 1801633797 |
---|---|
Provider Enumeration Date | 07/09/2024 |
Last Update Date | 07/10/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801633797 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Comprehensive Behavioral Health Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5300 W Alameda Ave, Lakewood, CO 80226 Phone: 303-885-4774 | |
Lakewood Injury Treatment Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 605 Parfet St, Suite 104, Lakewood, CO 80215 Phone: 303-330-0024 Fax: 303-232-1798 |