| |
1536 Cole Blvd Ste 4-250 Lakewood CO 80401-3413 | |
(303) 716-8027 | |
(303) 238-5258 |
Full Name | |
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Speciality | Psychiatry & Neurology - Neurology |
Location | 1536 Cole Blvd Ste 4-250, Lakewood, Colorado |
Authorized Official Name and Position | Emily Castillo (REGIONAL MEDICAL STAFF MANAGER) |
Authorized Official Contact | 7025793253 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2 S Cascade Ave Ste 140 Colorado Springs CO 80903-1604 Ph: (719) 538-2900 | 1536 Cole Blvd Ste 4-250 Lakewood CO 80401-3413 Ph: (303) 716-8027 |
NPI Number | 1710744370 |
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Provider Enumeration Date | 02/29/2024 |
Last Update Date | 03/13/2024 |
Identifier | Type | State | Issuer |
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1710744370 | NPI | - | NPPES |
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