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3455 Lutheran Pkwy Ste 220 Wheat Ridge CO 80033-6029 | |
(303) 403-3030 | |
(303) 403-6907 |
Full Name | |
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Speciality | Surgery |
Location | 3455 Lutheran Pkwy Ste 220, Wheat Ridge, Colorado |
Authorized Official Name and Position | Sean Fadden (VP FINANCE) |
Authorized Official Contact | 3034252410 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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500 Eldorado Blvd Ste 6300 Broomfield CO 80021-3422 Ph: (303) 272-0566 | 3455 Lutheran Pkwy Ste 220 Wheat Ridge CO 80033-6029 Ph: (303) 403-3030 |
NPI Number | 1730706607 |
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Provider Enumeration Date | 06/26/2020 |
Last Update Date | 12/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730706607 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RB0002X | Internal Medicine - Obesity Medicine | (* (Not Available)) | Secondary |
208600000X | Surgery | (* (Not Available)) | Primary |
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