| Penelope H Thron-weber | |
|
1370 S Wadsworth Blvd Lakewood CO 80232-5439 | |
| (303) 985-8773 | |
| Not Available |
| Full Name | Penelope H Thron-weber |
|---|---|
| Speciality | Family Medicine |
| Location | 1370 S Wadsworth Blvd, Lakewood, Colorado |
| Authorized Official Name and Position | Penelope H Thron-weber (OWNER) |
| Authorized Official Contact | 3039858773 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Penelope H Thron-weber Po Box 643 Wheat Ridge CO 80034-0643 Ph: (303) 985-8773 | Penelope H Thron-weber 1370 S Wadsworth Blvd Lakewood CO 80232-5439 Ph: (303) 985-8773 |
| NPI Number | 1093065245 |
|---|---|
| Provider Enumeration Date | 09/14/2012 |
| Last Update Date | 09/14/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093065245 | NPI | - | NPPES |
| 0126213 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 26213 (Colorado) | Primary |
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