Second Glance Prof Llc | |
701 E Hampden Ave 120 Englewood CO 80113-2736 | |
(303) 781-2515 | |
(303) 781-5809 |
Full Name | Second Glance Prof Llc |
---|---|
Speciality | Internal Medicine |
Location | 701 E Hampden Ave, Englewood, Colorado |
Authorized Official Name and Position | Kimberlee Terry (OWNER) |
Authorized Official Contact | 3037812515 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Second Glance Prof Llc 701 E Hampden Ave 120 Englewood CO 80113-2736 Ph: (303) 781-2515 | Second Glance Prof Llc 701 E Hampden Ave 120 Englewood CO 80113-2736 Ph: (303) 781-2515 |
NPI Number | 1548466915 |
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Provider Enumeration Date | 06/22/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548466915 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 39346 (Colorado) | Primary |
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