| Life Medicine Institute | |
|
1805 S Bellaire St Ste 101 Denver CO 80222-4309 | |
| (800) 651-7126 | |
| Not Available |
| Full Name | Life Medicine Institute |
|---|---|
| Speciality | Family Medicine |
| Location | 1805 S Bellaire St, Denver, Colorado |
| Authorized Official Name and Position | Brent J Jaster (PRESIDENT) |
| Authorized Official Contact | 7209716588 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Medicine Institute 1805 S Bellaire St Ste 101 Denver CO 80222-4309 Ph: (800) 651-7126 | Life Medicine Institute 1805 S Bellaire St Ste 101 Denver CO 80222-4309 Ph: (800) 651-7126 |
| NPI Number | 1528303500 |
|---|---|
| Provider Enumeration Date | 12/03/2012 |
| Last Update Date | 04/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528303500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 41530 (Colorado) | Primary |
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