| |
1536 Cole Blvd Ste 335 Lakewood CO 80401-3413 | |
(720) 504-8007 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 1536 Cole Blvd Ste 335, Lakewood, Colorado |
Authorized Official Name and Position | Danny Kellams (DIRECTOR / CEO) |
Authorized Official Contact | 7205048007 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1536 Cole Blvd Ste 335 Lakewood CO 80401-3413 Ph: (720) 504-8007 | 1536 Cole Blvd Ste 335 Lakewood CO 80401-3413 Ph: (720) 504-8007 |
NPI Number | 1558026245 |
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Provider Enumeration Date | 11/08/2021 |
Last Update Date | 03/05/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558026245 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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