| Village Medical Center Pc | |
|
5975 S Quebec St Suite 150 Centennial CO 80111-4564 | |
| (303) 221-0000 | |
| (303) 796-0304 |
| Full Name | Village Medical Center Pc |
|---|---|
| Speciality | Internal Medicine - Allergy & Immunology |
| Location | 5975 S Quebec St, Centennial, Colorado |
| Authorized Official Name and Position | Morel Laronn (PRESIDENT) |
| Authorized Official Contact | 3032210000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Village Medical Center Pc 5975 S Quebec St Suite 150 Centennial CO 80111-4564 Ph: (303) 221-0000 | Village Medical Center Pc 5975 S Quebec St Suite 150 Centennial CO 80111-4564 Ph: (303) 221-0000 |
| NPI Number | 1477598829 |
|---|---|
| Provider Enumeration Date | 06/19/2006 |
| Last Update Date | 04/08/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477598829 | NPI | - | NPPES |
| CE9649 | Other | CO | RAILROAD MEDICARE |
| VIU8608 | Other | CO | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RA0201X | Internal Medicine - Allergy & Immunology | (* (Not Available)) | Primary |
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