Validus Health Allies Pc | |
1704 Laurel Ct Broomfield CO 80020-3444 | |
(720) 841-5102 | |
Not Available |
Full Name | Validus Health Allies Pc |
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Speciality | Family Medicine |
Location | 1704 Laurel Ct, Broomfield, Colorado |
Authorized Official Name and Position | Thomas D. Mino (PRESIDENT) |
Authorized Official Contact | 7208415102 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Validus Health Allies Pc 1704 Laurel Ct Broomfield CO 80020-3444 Ph: () - | Validus Health Allies Pc 1704 Laurel Ct Broomfield CO 80020-3444 Ph: (720) 841-5102 |
NPI Number | 1548048143 |
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Provider Enumeration Date | 09/15/2023 |
Last Update Date | 09/15/2023 |
Medicare PECOS PAC ID | 4587019393 |
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Medicare Enrollment ID | O20231016000043 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548048143 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Thomas D Mino |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1144386012 PECOS PAC ID: 3476541251 Enrollment ID: I20040501000370 |
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