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325 S Teller St Ste 250 Lakewood CO 80226-7429 | |
(303) 403-6600 | |
(303) 403-6493 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 325 S Teller St Ste 250, Lakewood, Colorado |
Authorized Official Name and Position | Jon Mcdaniel (VP FINANCE) |
Authorized Official Contact | 3032720231 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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500 Eldorado Blvd Ste 6300 Broomfield CO 80021-3422 Ph: (303) 272-0566 | 325 S Teller St Ste 250 Lakewood CO 80226-7429 Ph: (303) 403-6600 |
NPI Number | 1952913774 |
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Provider Enumeration Date | 08/21/2020 |
Last Update Date | 06/28/2024 |
Identifier | Type | State | Issuer |
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1952913774 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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