| Green Mountain Clinic - Primary Care | |
|
12790 W Alameda Pkwy Ste A Lakewood CO 80228-2850 | |
| (303) 403-6350 | |
| (303) 403-6372 |
| Full Name | Green Mountain Clinic - Primary Care |
|---|---|
| Speciality | Family Medicine |
| Location | 12790 W Alameda Pkwy Ste A, Lakewood, Colorado |
| Authorized Official Name and Position | Jon Mcdaniel (VP OF FINANCE) |
| Authorized Official Contact | 3032720231 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Green Mountain Clinic - Primary Care 500 Eldorado Blvd Ste 6300 Broomfield CO 80021-3422 Ph: (303) 272-0566 | Green Mountain Clinic - Primary Care 12790 W Alameda Pkwy Ste A Lakewood CO 80228-2850 Ph: (303) 403-6350 |
| NPI Number | 1992313373 |
|---|---|
| Provider Enumeration Date | 07/21/2020 |
| Last Update Date | 06/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992313373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 2083X0100X | Preventive Medicine - Occupational Medicine | (* (Not Available)) | Secondary |
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