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165 S Union Blvd Ste 800 Lakewood CO 80228-2213 | |
(303) 988-2680 | |
(303) 986-8057 |
Full Name | |
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Speciality | Internal Medicine |
Location | 165 S Union Blvd Ste 800, Lakewood, 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 | 165 S Union Blvd Ste 800 Lakewood CO 80228-2213 Ph: (303) 988-2680 |
NPI Number | 1548878531 |
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Provider Enumeration Date | 07/16/2020 |
Last Update Date | 08/03/2022 |
Identifier | Type | State | Issuer |
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1548878531 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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