| Colorado Senior Provider Network | |
|
2221 E Arapahoe Rd Unit 3728 Centennial CO 80161-5079 | |
| (303) 877-7239 | |
| Not Available |
| Full Name | Colorado Senior Provider Network |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 2221 E Arapahoe Rd Unit 3728, Centennial, Colorado |
| Authorized Official Name and Position | Mark Talmage (GENERAL PARTNER) |
| Authorized Official Contact | 3038777239 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colorado Senior Provider Network Po Box 3728 Littleton CO 80161-3728 Ph: (303) 877-7239 | Colorado Senior Provider Network 2221 E Arapahoe Rd Unit 3728 Centennial CO 80161-5079 Ph: (303) 877-7239 |
| NPI Number | 1952819450 |
|---|---|
| Provider Enumeration Date | 01/18/2018 |
| Last Update Date | 03/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952819450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | DR0027631 (Colorado) | Primary |
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