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14062 Denver West Pkwy Bldg 52, Ste 150 Lakewood CO 80401-3187 | |
(303) 893-8300 | |
(303) 825-7927 |
Full Name | |
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Speciality | Internal Medicine |
Location | 14062 Denver West Pkwy, Lakewood, Colorado |
Authorized Official Name and Position | Arwyn Bree Taffs (OWNER) |
Authorized Official Contact | 3038938300 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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14062 Denver West Pkwy Bldg 52, Ste 150 Lakewood CO 80401-3187 Ph: (303) 893-8300 | 14062 Denver West Pkwy Bldg 52, Ste 150 Lakewood CO 80401-3187 Ph: (303) 893-8300 |
NPI Number | 1548633670 |
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Provider Enumeration Date | 11/11/2015 |
Last Update Date | 11/11/2015 |
Medicare PECOS PAC ID | 3476857905 |
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Medicare Enrollment ID | O20160203002481 |
Identifier | Type | State | Issuer |
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1548633670 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Charles E Goodell |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1457301897 PECOS PAC ID: 2668454471 Enrollment ID: I20040604000683 |
Provider Name | Robert Springs |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1235246075 PECOS PAC ID: 6507811064 Enrollment ID: I20050323000553 |
Provider Name | Christine Evans |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790367886 PECOS PAC ID: 6800291600 Enrollment ID: I20210817001796 |
Provider Name | Miranda L Minter |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548990021 PECOS PAC ID: 8123400447 Enrollment ID: I20220803002553 |
Provider Name | Jamie Steadman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841973617 PECOS PAC ID: 6204283807 Enrollment ID: I20231103000047 |
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