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8790 W Colfax Ave Ste 10 Lakewood CO 80215-4025 | |
(720) 789-3350 | |
Not Available |
Full Name | |
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Speciality | Clinic/center |
Location | 8790 W Colfax Ave Ste 10, Lakewood, Colorado |
Authorized Official Name and Position | Vu Ngo (CEO) |
Authorized Official Contact | 7207893350 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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8790 W Colfax Ave Ste 10 Lakewood CO 80215-4025 Ph: (720) 789-3350 | 8790 W Colfax Ave Ste 10 Lakewood CO 80215-4025 Ph: (720) 789-3350 |
NPI Number | 1467943548 |
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Provider Enumeration Date | 05/23/2018 |
Last Update Date | 12/25/2018 |
Identifier | Type | State | Issuer |
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1467943548 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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