| Shalom Park Professional Services Llc | |
|
14800 E Belleview Drive Aurora CO 80015-2258 | |
| (303) 680-5000 | |
| (303) 699-4300 |
| Full Name | Shalom Park Professional Services Llc |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 14800 E Belleview Drive, Aurora, Colorado |
| Authorized Official Name and Position | Dan Stenersen (CEO) |
| Authorized Official Contact | 3036805000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shalom Park Professional Services Llc 14800 E Belleview Drive Aurora CO 80015-2258 Ph: (303) 680-5000 | Shalom Park Professional Services Llc 14800 E Belleview Drive Aurora CO 80015-2258 Ph: (303) 680-5000 |
| NPI Number | 1528232402 |
|---|---|
| Provider Enumeration Date | 04/22/2008 |
| Last Update Date | 03/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528232402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 1565633 (Colorado) | Primary |
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