| Mountain Vista Family Practice | |
|
7761 Shaffer Parkway Suite 225 Littleton CO 80127-3729 | |
| (303) 932-2988 | |
| (303) 932-6625 |
| Full Name | Mountain Vista Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 7761 Shaffer Parkway, Littleton, Colorado |
| Authorized Official Name and Position | Candice R Chacon-jaramillo (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 3033572559 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Vista Family Practice 8055 E Tufts Ave Ste 230 Denver CO 80237-2854 Ph: (303) 357-2559 | Mountain Vista Family Practice 7761 Shaffer Parkway Suite 225 Littleton CO 80127-3729 Ph: (303) 932-2988 |
| NPI Number | 1861578130 |
|---|---|
| Provider Enumeration Date | 10/31/2006 |
| Last Update Date | 11/25/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861578130 | NPI | - | NPPES |
| 575658 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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