| Community Supported Family Medicine, Llc | |
|
3333 S Bannock St Ste 400 Englewood CO 80110-2436 | |
| (303) 883-1417 | |
| (303) 500-6966 |
| Full Name | Community Supported Family Medicine, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3333 S Bannock St Ste 400, Englewood, Colorado |
| Authorized Official Name and Position | Jennifer Novotny (OWNER & FAMILY NURSE PRACTITIONER) |
| Authorized Official Contact | 3038831417 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Supported Family Medicine, Llc 3333 S Bannock St Ste 400 Englewood CO 80110-2436 Ph: (303) 883-1417 | Community Supported Family Medicine, Llc 3333 S Bannock St Ste 400 Englewood CO 80110-2436 Ph: (303) 883-1417 |
| NPI Number | 1477182665 |
|---|---|
| Provider Enumeration Date | 04/08/2020 |
| Last Update Date | 04/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477182665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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