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1300 S Potomac St Ste 122 Aurora CO 80012-4526 | |
(303) 493-7000 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 1300 S Potomac St Ste 122, Aurora, Colorado |
Authorized Official Name and Position | Lisa Donahue (DIRECTOR) |
Authorized Official Contact | 3034937300 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 110429 Aurora CO 80042-0429 Ph: (303) 493-7000 | 1300 S Potomac St Ste 122 Aurora CO 80012-4526 Ph: (303) 493-7000 |
NPI Number | 1275388522 |
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Provider Enumeration Date | 04/20/2024 |
Last Update Date | 08/29/2024 |
Medicare PECOS PAC ID | 3476465667 |
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Medicare Enrollment ID | O20241002001558 |
Identifier | Type | State | Issuer |
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1275388522 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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