| Denver Occupational & Aviation Med. Clinic | |
|
3700 Havana St Suite 200 Denver CO 80239-3240 | |
| (303) 373-4456 | |
| (303) 373-4501 |
| Full Name | Denver Occupational & Aviation Med. Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 3700 Havana St, Denver, Colorado |
| Authorized Official Name and Position | Clarence J. Kluck (OWNER) |
| Authorized Official Contact | 3033734456 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Denver Occupational & Aviation Med. Clinic 3464 S Willow St Denver CO 80231-4531 Ph: (303) 755-2900 | Denver Occupational & Aviation Med. Clinic 3700 Havana St Suite 200 Denver CO 80239-3240 Ph: (303) 373-4456 |
| NPI Number | 1003800558 |
|---|---|
| Provider Enumeration Date | 09/09/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003800558 | NPI | - | NPPES |
| C49821 | Medicaid | CO | |
| KW63304 | Other | CO | BLUESHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 16150 (Colorado) | Primary |
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