| |
14701 E Exposition Ave Aurora CO 80012-2623 | |
(303) 338-4545 | |
Not Available |
Full Name | |
---|---|
Speciality | Clinic/center |
Location | 14701 E Exposition Ave, Aurora, Colorado |
Authorized Official Name and Position | Michael S Ramseier (REGIONAL PRESIDENT) |
Authorized Official Contact | 3033447256 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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10350 E Dakota Ave Denver CO 80247-1314 Ph: () - | 14701 E Exposition Ave Aurora CO 80012-2623 Ph: (303) 338-4545 |
NPI Number | 1336253038 |
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Provider Enumeration Date | 08/18/2006 |
Last Update Date | 04/11/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336253038 | NPI | - | NPPES |
04710083 | Medicaid | CO | |
04510301 | Medicaid | CO | |
30478251 | Medicaid | CO | |
04020087 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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