| Tjdmedical Center | |
|
4251 Kipling St Suite 560 Wheat Ridge CO 80033-2896 | |
| (720) 898-8900 | |
| (720) 898-8901 |
| Full Name | Tjdmedical Center |
|---|---|
| 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 |
|---|---|
| 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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