| Richard I Glassman Dopc | |
|
830 Potomac Cir Ste 295 Aurora CO 80011-6750 | |
| (303) 340-3360 | |
| (303) 366-7370 |
| Full Name | Richard I Glassman Dopc |
|---|---|
| Speciality | Family Medicine |
| Location | 830 Potomac Cir, Aurora, Colorado |
| Authorized Official Name and Position | Richard I Glassman (OWNER PHYSICIAL) |
| Authorized Official Contact | 3033403360 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard I Glassman Dopc 830 Potomac Cir Ste 295 Aurora CO 80011-6750 Ph: (303) 340-3360 | Richard I Glassman Dopc 830 Potomac Cir Ste 295 Aurora CO 80011-6750 Ph: (303) 340-3360 |
| NPI Number | 1154522779 |
|---|---|
| Provider Enumeration Date | 05/30/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6204804891 |
|---|---|
| Medicare Enrollment ID | O20040921001168 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154522779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Richard I Glassman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285764852 PECOS PAC ID: 4183652860 Enrollment ID: I20050803000319 |
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