| South Suburban Internal Medicine | |
|
7750 S Broadway Ste 100 Littleton CO 80122-2630 | |
| (303) 347-9897 | |
| (303) 347-9912 |
| Full Name | South Suburban Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 7750 S Broadway Ste 100, Littleton, Colorado |
| Authorized Official Name and Position | Angela Skinner (OMA ADMINISTRATOR) |
| Authorized Official Contact | 3036737175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Suburban Internal Medicine Po Box 911244 Denver CO 80291-1244 Ph: (303) 643-1099 | South Suburban Internal Medicine 7750 S Broadway Ste 100 Littleton CO 80122-2630 Ph: (303) 347-9897 |
| NPI Number | 1285865824 |
|---|---|
| Provider Enumeration Date | 07/30/2009 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285865824 | NPI | - | NPPES |
| 15600289 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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