| |
4803 Ward Rd Wheat Ridge CO 80033-1902 | |
(303) 338-4545 | |
Not Available |
Full Name | |
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Speciality | Clinic/center |
Location | 4803 Ward Rd, Wheat Ridge, Colorado |
Authorized Official Name and Position | Matthew J Splinter (CPMG CFO) |
Authorized Official Contact | 3033447345 |
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: () - | 4803 Ward Rd Wheat Ridge CO 80033-1902 Ph: (303) 338-4545 |
NPI Number | 1841643400 |
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Provider Enumeration Date | 07/19/2016 |
Last Update Date | 05/25/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841643400 | NPI | - | NPPES |
04710083 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (Colorado) | Primary |
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