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4600 S Syracuse St # 980 Denver CO 80237-2750 | |
| (801) 694-1198 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4600 S Syracuse St # 980, Denver, Colorado |
| Authorized Official Name and Position | Mathew Harrison (CFO) |
| Authorized Official Contact | 8179411068 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4600 S Syracuse St # 985 Denver CO 80237-2750 Ph: (801) 694-1198 | 4600 S Syracuse St # 980 Denver CO 80237-2750 Ph: (801) 694-1198 |
| NPI Number | 1790566099 |
|---|---|
| Provider Enumeration Date | 10/11/2023 |
| Last Update Date | 01/29/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790566099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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