| Tlc The Littleton Clinic | |
|
9200 W Cross Dr Ste 315 Littleton CO 80123-2238 | |
| (720) 351-2411 | |
| (877) 673-1592 |
| Full Name | Tlc The Littleton Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 9200 W Cross Dr Ste 315, Littleton, Colorado |
| Authorized Official Name and Position | David Hopp (OFFICE MANAGER) |
| Authorized Official Contact | 7203512411 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tlc The Littleton Clinic 9200 W Cross Dr Ste 315 Littleton CO 80123-2238 Ph: (720) 351-2411 | Tlc The Littleton Clinic 9200 W Cross Dr Ste 315 Littleton CO 80123-2238 Ph: (720) 351-2411 |
| NPI Number | 1144686346 |
|---|---|
| Provider Enumeration Date | 01/05/2016 |
| Last Update Date | 01/10/2019 |
| Medicare PECOS PAC ID | 0840599858 |
|---|---|
| Medicare Enrollment ID | O20160426000761 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144686346 | NPI | - | NPPES |
| 39852270 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 33454 (Colorado) | Primary |
| Provider Name | Maria L Hopp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568475192 PECOS PAC ID: 5496918179 Enrollment ID: I20120516000203 |
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