| South Suburban Family Medicine | |
|
7720 S Broadway Ste 480 Littleton CO 80122-2600 | |
| (303) 346-9490 | |
| (303) 346-9309 |
| Full Name | South Suburban Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 7720 S Broadway Ste 480, Littleton, Colorado |
| Authorized Official Name and Position | Jeffry N. Gerber (PRESIDENT OWNER) |
| Authorized Official Contact | 3033469490 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Suburban Family Medicine 7720 S Broadway Ste 480 Littleton CO 80122-2600 Ph: (303) 346-9490 | South Suburban Family Medicine 7720 S Broadway Ste 480 Littleton CO 80122-2600 Ph: (303) 346-9490 |
| NPI Number | 1053489021 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 03/01/2021 |
| Medicare PECOS PAC ID | 4981593423 |
|---|---|
| Medicare Enrollment ID | O20040312000924 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053489021 | NPI | - | NPPES |
| 19305851 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 32322 (Colorado) | Primary |
| Provider Name | Jeffry N Gerber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316031529 PECOS PAC ID: 0345141883 Enrollment ID: I20080626000252 |
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