V Solano Medical Llc | |
4990 Kipling St Wheat Ridge CO 80033-6762 | |
(303) 456-4882 | |
Not Available |
Full Name | V Solano Medical Llc |
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Speciality | Family Medicine |
Location | 4990 Kipling St, Wheat Ridge, Colorado |
Authorized Official Name and Position | Andrew V Solano (SURROGATE) |
Authorized Official Contact | 3039037159 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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V Solano Medical Llc 996 Joliet St Aurora CO 80010-4046 Ph: (303) 903-7159 | V Solano Medical Llc 4990 Kipling St Wheat Ridge CO 80033-6762 Ph: (303) 456-4882 |
NPI Number | 1710658422 |
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Provider Enumeration Date | 09/22/2021 |
Last Update Date | 12/10/2021 |
Medicare PECOS PAC ID | 3072908532 |
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Medicare Enrollment ID | O20220318001548 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710658422 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Michael J Mcmillan |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1801868401 PECOS PAC ID: 5294785507 Enrollment ID: I20050125000449 |
Provider Name | Alma Leticia Silva-gutierrez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750865374 PECOS PAC ID: 9436402534 Enrollment ID: I20181018002043 |
Provider Name | Claire L Hardin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780123414 PECOS PAC ID: 7113283466 Enrollment ID: I20181205002633 |
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