Tjdmedical Center | |
4251 Kipling St Suite 560 Wheat Ridge CO 80033-2896 | |
(720) 898-8900 | |
(720) 898-8901 |
Full Name | Tjdmedical Center |
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Speciality | Clinic/center |
Location | 4251 Kipling St, Wheat Ridge, Colorado |
Authorized Official Name and Position | Terry Gardner (OWNER) |
Authorized Official Contact | 7208988900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Tjdmedical Center 4251 Kipling St Suite 560 Wheat Ridge CO 80033-2896 Ph: (720) 898-8900 | Tjdmedical Center 4251 Kipling St Suite 560 Wheat Ridge CO 80033-2896 Ph: (720) 898-8900 |
NPI Number | 1497930945 |
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Provider Enumeration Date | 01/03/2008 |
Last Update Date | 01/03/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497930945 | NPI | - | NPPES |
83685731 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 39589 (Colorado) | Primary |
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