| Western Infectious Disease Infusion Center, Inc. | |
|
3303 W 144th Ave Suite 103 Broomfield CO 80023-9464 | |
| (303) 425-9245 | |
| (303) 425-1378 |
| Full Name | Western Infectious Disease Infusion Center, Inc. |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 3303 W 144th Ave, Broomfield, Colorado |
| Authorized Official Name and Position | Jeffrey A. Desjardin (PHYSICIAN/PRESIDENT) |
| Authorized Official Contact | 3034259245 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Infectious Disease Infusion Center, Inc. Po Box 1449 Wheat Ridge CO 80034-1449 Ph: (303) 425-9245 | Western Infectious Disease Infusion Center, Inc. 3303 W 144th Ave Suite 103 Broomfield CO 80023-9464 Ph: (303) 425-9245 |
| NPI Number | 1255733374 |
|---|---|
| Provider Enumeration Date | 09/19/2014 |
| Last Update Date | 09/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255733374 | NPI | - | NPPES |
| C377608 | Other | MEDICARE GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
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