| Elk Ridge Family Physicians Inc | |
|
30940 Stagecoach Blvd Suite E290 Evergreen CO 80439-7984 | |
| (303) 674-8153 | |
| (303) 674-8303 |
| Full Name | Elk Ridge Family Physicians Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 30940 Stagecoach Blvd, Evergreen, Colorado |
| Authorized Official Name and Position | Julie Brown (OFFICE MANAGER) |
| Authorized Official Contact | 3036707021 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elk Ridge Family Physicians Inc 30940 Stagecoach Blvd Suite E290 Evergreen CO 80439-7984 Ph: (303) 674-8153 | Elk Ridge Family Physicians Inc 30940 Stagecoach Blvd Suite E290 Evergreen CO 80439-7984 Ph: (303) 674-8153 |
| NPI Number | 1609832120 |
|---|---|
| Provider Enumeration Date | 04/24/2006 |
| Last Update Date | 03/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609832120 | NPI | - | NPPES |
| 04017109 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25525 (Colorado) | Primary |
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