| Comprehensive Family Medicine Pc | |
|
8925 S Ridgeline Blvd Suite 109 Highlands Ranch CO 80129-2500 | |
| (303) 471-6500 | |
| (303) 471-5908 |
| Full Name | Comprehensive Family Medicine Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8925 S Ridgeline Blvd, Highlands Ranch, Colorado |
| Authorized Official Name and Position | Steffi Gratigny (OWNER AND PRESIDENT) |
| Authorized Official Contact | 3034716500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Family Medicine Pc 8925 S Ridgeline Blvd Suite 109 Highlands Ranch CO 80129-2500 Ph: (303) 471-6500 | Comprehensive Family Medicine Pc 8925 S Ridgeline Blvd Suite 109 Highlands Ranch CO 80129-2500 Ph: (303) 471-6500 |
| NPI Number | 1588615280 |
|---|---|
| Provider Enumeration Date | 05/15/2006 |
| Last Update Date | 05/04/2010 |
| Medicare PECOS PAC ID | 4082610431 |
|---|---|
| Medicare Enrollment ID | O20061009000276 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588615280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Kenneth A Weller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023016128 PECOS PAC ID: 0345246799 Enrollment ID: I20061009000288 |
| Provider Name | Mallory R Faulkner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306160239 PECOS PAC ID: 7618125774 Enrollment ID: I20130711000052 |
| Provider Name | Steffi Rae Gratigny |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700886330 PECOS PAC ID: 6901803246 Enrollment ID: I20130802000578 |
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