| Littleton Internal Medicine Associates | |
|
7780 S Broadway Suite 100 Littleton CO 80122-2648 | |
| (303) 798-9996 | |
| (303) 730-1145 |
| Full Name | Littleton Internal Medicine Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 7780 S Broadway, Littleton, Colorado |
| Authorized Official Name and Position | David Conway (CEO) |
| Authorized Official Contact | 3037989996 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Littleton Internal Medicine Associates 7780 S Broadway Suite 100 Littleton CO 80122-2648 Ph: (303) 798-9996 | Littleton Internal Medicine Associates 7780 S Broadway Suite 100 Littleton CO 80122-2648 Ph: (303) 798-9996 |
| NPI Number | 1023001526 |
|---|---|
| Provider Enumeration Date | 08/30/2005 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4183514359 |
|---|---|
| Medicare Enrollment ID | O20040319000546 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023001526 | NPI | - | NPPES |
| 04016861 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | David R Conway |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164415691 PECOS PAC ID: 8022021443 Enrollment ID: I20100512000676 |
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