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735 Us Highway 24 Leadville CO 80461-3978 | |
(719) 486-0500 | |
(719) 486-3966 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 735 Us Highway 24, Leadville, Colorado |
Authorized Official Name and Position | Lisa Zwerdlinger (PRESIDENT) |
Authorized Official Contact | 7194860500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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735 Us Highway 24 Leadville CO 80461-3978 Ph: (719) 486-0500 | 735 Us Highway 24 Leadville CO 80461-3978 Ph: (719) 486-0500 |
NPI Number | 1659647592 |
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Provider Enumeration Date | 03/26/2012 |
Last Update Date | 03/26/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659647592 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 063875 (Colorado) | Primary |
Rocky Mountain Family Practice Of Leadville Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 735 Us Highway 24, Leadville, CO 80461 Phone: 719-486-0500 Fax: 719-486-3966 |