Healthlogicmd | |
15033 E Maplewood Dr. Centennial CO 80016 | |
(312) 480-7022 | |
Not Available |
Full Name | Healthlogicmd |
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Speciality | Family Medicine |
Location | 15033 E Maplewood Dr., Centennial, Colorado |
Authorized Official Name and Position | Inna Trey (PRESIDENT) |
Authorized Official Contact | 3124807022 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Healthlogicmd 15033 E Maplewood Dr Centennial CO 80016-4706 Ph: (312) 480-7022 | Healthlogicmd 15033 E Maplewood Dr. Centennial CO 80016 Ph: (312) 480-7022 |
NPI Number | 1902336514 |
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Provider Enumeration Date | 06/15/2017 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 2163789397 |
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Medicare Enrollment ID | O20171127001402 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902336514 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | DR.0055834 (Colorado) | Primary |
Provider Name | Inna Oleksandrivna Trey |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1811262975 PECOS PAC ID: 6800197112 Enrollment ID: I20151210001012 |
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