| Columbine Ridge Family Medicine P C | |
|
965 Platte River Blvd Unit O Bldg 1 Brighton CO 80601-4353 | |
| (303) 655-9866 | |
| (303) 655-9869 |
| Full Name | Columbine Ridge Family Medicine P C |
|---|---|
| Speciality | Family Medicine |
| Location | 965 Platte River Blvd, Brighton, Colorado |
| Authorized Official Name and Position | Carlos Gustavo Rodriguez (SHARE HOLDER/ DOCTOR) |
| Authorized Official Contact | 3038758198 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbine Ridge Family Medicine P C 965 Platte River Blvd Unit O, Bldg 1 Brighton CO 80601-4353 Ph: (303) 655-9866 | Columbine Ridge Family Medicine P C 965 Platte River Blvd Unit O Bldg 1 Brighton CO 80601-4353 Ph: (303) 655-9866 |
| NPI Number | 1548441611 |
|---|---|
| Provider Enumeration Date | 11/16/2007 |
| Last Update Date | 11/16/2007 |
| Medicare PECOS PAC ID | 3072532001 |
|---|---|
| Medicare Enrollment ID | O20051118000057 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548441611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 36368 (Colorado) | Primary |
| Provider Name | Carlos G Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457573164 PECOS PAC ID: 9335168368 Enrollment ID: I20051121000516 |
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