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4350 Limelight Ave Ste 100 Castle Rock CO 80109-8034 | |
(720) 330-1390 | |
(720) 995-5206 |
Full Name | |
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Speciality | Family Medicine - Sports Medicine |
Location | 4350 Limelight Ave Ste 100, Castle Rock, Colorado |
Authorized Official Name and Position | Jason Tacha (COO) |
Authorized Official Contact | 3033047752 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 713425 Chicago IL 60677-4325 Ph: () - | 4350 Limelight Ave Ste 100 Castle Rock CO 80109-8034 Ph: (720) 330-1390 |
NPI Number | 1235828294 |
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Provider Enumeration Date | 05/04/2023 |
Last Update Date | 11/11/2024 |
Identifier | Type | State | Issuer |
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1235828294 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Primary |
Three Oaks Family Medicine, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1161 S Perry St, Suite 100, Castle Rock, CO 80104 Phone: 303-688-5456 Fax: 303-688-5924 | |
Center Pointe Family Medical Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Oakwood Park Plz Ste 101, Castle Rock, CO 80104 Phone: 719-282-6100 | |
Portercare Adventist Health System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2356 Meadows Blvd Ste 140b, Castle Rock, CO 80109 Phone: 303-218-7774 Fax: 303-660-5065 | |