| |
360 S Teller St Ste 200 Lakewood CO 80226-7384 | |
(303) 403-6600 | |
Not Available |
Full Name | |
---|---|
Speciality | Family Medicine |
Location | 360 S Teller St Ste 200, Lakewood, Colorado |
Authorized Official Name and Position | Jon Mcdaniel (VP FINANCE) |
Authorized Official Contact | 3032720231 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
500 Eldorado Blvd Ste 4300 Broomfield CO 80021-3564 Ph: (303) 272-0566 | 360 S Teller St Ste 200 Lakewood CO 80226-7384 Ph: (303) 403-6600 |
NPI Number | 1730919085 |
---|---|
Provider Enumeration Date | 08/02/2024 |
Last Update Date | 08/27/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730919085 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Comprehensive Behavioral Health Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5300 W Alameda Ave, Lakewood, CO 80226 Phone: 303-885-4774 | |
Lakewood Injury Treatment Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 605 Parfet St, Suite 104, Lakewood, CO 80215 Phone: 303-330-0024 Fax: 303-232-1798 |