| Greeley Internal Medicine & Nephrology | |
|
900 14th St Greeley CO 80631-4622 | |
| (970) 304-0010 | |
| Not Available |
| Full Name | Greeley Internal Medicine & Nephrology |
|---|---|
| Speciality | Internal Medicine |
| Location | 900 14th St, Greeley, Colorado |
| Authorized Official Name and Position | Shawnae Kelly (OFFICE MANAGER) |
| Authorized Official Contact | 9703040010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greeley Internal Medicine & Nephrology 900 14th St Greeley CO 80631-4622 Ph: (970) 304-0010 | Greeley Internal Medicine & Nephrology 900 14th St Greeley CO 80631-4622 Ph: (970) 304-0010 |
| NPI Number | 1548443039 |
|---|---|
| Provider Enumeration Date | 12/07/2007 |
| Last Update Date | 05/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548443039 | NPI | - | NPPES |
| 127588 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 31120 (Colorado) | Primary |
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