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4300 Harlan Street Wheat Ridge CO 80033-5122 | |
(303) 421-8020 | |
(303) 424-5927 |
Full Name | |
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Speciality | Family Medicine |
Location | 4300 Harlan Street, Wheat Ridge, Colorado |
Authorized Official Name and Position | Robert B Simon (PHYSICIAN/OWNER) |
Authorized Official Contact | 3034218020 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4300 Harlan Street Wheat Ridge CO 80033-5122 Ph: (303) 421-8020 | 4300 Harlan Street Wheat Ridge CO 80033-5122 Ph: (303) 421-8020 |
NPI Number | 1639353758 |
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Provider Enumeration Date | 12/26/2007 |
Last Update Date | 01/28/2008 |
Identifier | Type | State | Issuer |
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1639353758 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 13724 (Colorado) | Primary |
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