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1525 Raleigh St Ste 220 Denver CO 80204-1497 | |
| (303) 433-2565 | |
| (303) 433-2567 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1525 Raleigh St Ste 220, Denver, Colorado |
| Authorized Official Name and Position | Mauricio L Waintrub (PRESIDENT) |
| Authorized Official Contact | 3033375575 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1360 S Potomac St Aurora CO 80012-4505 Ph: (303) 337-5575 | 1525 Raleigh St Ste 220 Denver CO 80204-1497 Ph: (303) 433-2565 |
| NPI Number | 1023374709 |
|---|---|
| Provider Enumeration Date | 04/06/2012 |
| Last Update Date | 12/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023374709 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 34568 (Colorado) | Primary |
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