| Validus Health Allies Pc | |
|
1704 Laurel Ct Broomfield CO 80020-3444 | |
| (720) 841-5102 | |
| Not Available |
| Full Name | Validus Health Allies Pc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 09/15/2023 |
| Last Update Date | 09/15/2023 |
| Medicare PECOS PAC ID | 4587019393 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144386012 PECOS PAC ID: 3476541251 Enrollment ID: I20040501000370 |
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