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1022 Depot Hill Rd Broomfield CO 80020-1068 | |
(303) 465-2323 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 1022 Depot Hill Rd, Broomfield, Colorado |
Authorized Official Name and Position | Lisa Donahue (DIRECTOR) |
Authorized Official Contact | 3034937300 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 110429 Aurora CO 80042-0429 Ph: (303) 493-7000 | 1022 Depot Hill Rd Broomfield CO 80020-1068 Ph: (303) 465-2323 |
NPI Number | 1831663749 |
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Provider Enumeration Date | 01/14/2019 |
Last Update Date | 08/29/2024 |
Identifier | Type | State | Issuer |
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1831663749 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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