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2230 S Fraser St Unit 1 Aurora CO 80014-4536 | |
(303) 341-4200 | |
(303) 341-4480 |
Full Name | |
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Speciality | Family Medicine |
Location | 2230 S Fraser St Unit 1, Aurora, Colorado |
Authorized Official Name and Position | Rhonda Heckard (CREDENTIALING COORDINATOR) |
Authorized Official Contact | 3037634900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1707 Cole Blvd Ste 100 Golden CO 80401-3219 Ph: (303) 763-4900 | 2230 S Fraser St Unit 1 Aurora CO 80014-4536 Ph: (303) 341-4200 |
NPI Number | 1528676517 |
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Provider Enumeration Date | 07/16/2020 |
Last Update Date | 08/03/2022 |
Identifier | Type | State | Issuer |
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1528676517 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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