Providence Healthcare Associates Pc | |
2761 W 120th Ave Suite 100 Westminster CO 80234-2880 | |
(303) 357-5620 | |
Not Available |
Full Name | Providence Healthcare Associates Pc |
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Speciality | Family Medicine |
Location | 2761 W 120th Ave, Westminster, Colorado |
Authorized Official Name and Position | Michael Corey Mccarty (PHYSICIAN-OWNER) |
Authorized Official Contact | 7209856484 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Providence Healthcare Associates Pc 2761 W 120th Ave Suite 100 Westminster CO 80234-2880 Ph: (303) 357-5620 | Providence Healthcare Associates Pc 2761 W 120th Ave Suite 100 Westminster CO 80234-2880 Ph: (303) 357-5620 |
NPI Number | 1740488535 |
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Provider Enumeration Date | 07/03/2007 |
Last Update Date | 07/10/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740488535 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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