| Redwood Medical Llc | |
|
1001 S Perry St Ste 104b Castle Rock CO 80104-1950 | |
| (720) 485-3178 | |
| Not Available |
| Full Name | Redwood Medical Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1001 S Perry St Ste 104b, Castle Rock, Colorado |
| Authorized Official Name and Position | Brent Herron (OWNER) |
| Authorized Official Contact | 3032490908 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Redwood Medical Llc Po Box 26056 Colorado Springs CO 80936-6056 Ph: (720) 485-3178 | Redwood Medical Llc 1001 S Perry St Ste 104b Castle Rock CO 80104-1950 Ph: (720) 485-3178 |
| NPI Number | 1861256091 |
|---|---|
| Provider Enumeration Date | 02/08/2024 |
| Last Update Date | 02/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861256091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
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