|
| |
|
131 Stanley Ave Ste 202 Estes Park CO 80517-6363 | |
| (970) 586-2343 | |
| (970) 586-9060 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 131 Stanley Ave, Estes Park, Colorado |
| Authorized Official Name and Position | Shari L Sell Premer (OFFICE MANAGER) |
| Authorized Official Contact | 9705862343 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
131 Stanley Ave Ste 202 Estes Park CO 80517-6363 Ph: (970) 586-2343 | 131 Stanley Ave Ste 202 Estes Park CO 80517-6363 Ph: (970) 586-2343 |
| NPI Number | 1760443709 |
|---|---|
| Provider Enumeration Date | 03/29/2006 |
| Last Update Date | 11/05/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760443709 | NPI | - | NPPES |
| 12383376 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Trinity Medical Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 555 Prospect Ave, Estes Park, CO 80517 Phone: 702-453-3799 | |
Rmc Medical Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 555 Prospect Ave, Estes Park, CO 80517 Phone: 702-453-3799 |