Greenwood Village Family Medicine Pc | |
8200 E Belleview Ave Ste 204c Greenwood Village CO 80111-2805 | |
(303) 221-5700 | |
Not Available |
Full Name | Greenwood Village Family Medicine Pc |
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Speciality | Family Medicine |
Location | 8200 E Belleview Ave Ste 204c, Greenwood Village, Colorado |
Authorized Official Name and Position | Terese E Donch (OWNER) |
Authorized Official Contact | 3032215700 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Greenwood Village Family Medicine Pc 8200 E Belleview Ave Ste 204c Greenwood Village CO 80111-2888 Ph: (303) 221-5700 | Greenwood Village Family Medicine Pc 8200 E Belleview Ave Ste 204c Greenwood Village CO 80111-2805 Ph: (303) 221-5700 |
NPI Number | 1457534232 |
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Provider Enumeration Date | 12/14/2007 |
Last Update Date | 04/29/2011 |
Medicare PECOS PAC ID | 5597666727 |
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Medicare Enrollment ID | O20040120000274 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457534232 | NPI | - | NPPES |
C485808 | Other | CO | PROVIDER/GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 36427 (Colorado) | Primary |
Provider Name | Terese E Donch |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124102330 PECOS PAC ID: 8921909151 Enrollment ID: I20120418000731 |
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