| |
8300 W 38th Ave 2nd Floor, Epn Cred Wheat Ridge CO 80033-6005 | |
(303) 403-3880 | |
(303) 425-8111 |
Full Name | |
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Speciality | Family Medicine |
Location | 8300 W 38th Ave, Wheat Ridge, Colorado |
Authorized Official Name and Position | Harold Edward Borgstrom (CFO) |
Authorized Official Contact | 3038377111 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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8300 W 38th Ave 2nd Floor, Epn Cred Wheat Ridge CO 80033-6005 Ph: (303) 403-3880 | 8300 W 38th Ave 2nd Floor, Epn Cred Wheat Ridge CO 80033-6005 Ph: (303) 403-3880 |
NPI Number | 1003863150 |
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Provider Enumeration Date | 05/27/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1003863150 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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