| Pivotal Edge, Llc | |
|
8156 S Wadsworth Blvd Unit E-164 Littleton CO 80128-9114 | |
| (720) 930-1738 | |
| Not Available |
| Full Name | Pivotal Edge, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 8156 S Wadsworth Blvd Unit E-164, Littleton, Colorado |
| Authorized Official Name and Position | Andrea Fowler (OWNER) |
| Authorized Official Contact | 7209301738 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pivotal Edge, Llc 8156 S Wadsworth Blvd Unit E-164 Littleton CO 80128-9114 Ph: (720) 930-1738 | Pivotal Edge, Llc 8156 S Wadsworth Blvd Unit E-164 Littleton CO 80128-9114 Ph: (720) 930-1738 |
| NPI Number | 1942956875 |
|---|---|
| Provider Enumeration Date | 03/01/2022 |
| Last Update Date | 03/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942956875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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