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10371 S. Parkglenn Way Suite 230a Parker CO 80138 | |
(303) 269-4333 | |
(303) 220-5053 |
Full Name | |
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Speciality | Family Medicine |
Location | 10371 S. Parkglenn Way, Parker, Colorado |
Authorized Official Name and Position | David P Hesselink (VP-FINANCE PE) |
Authorized Official Contact | 3038048136 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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P.o. Box 911244 Denver CO 80291-1244 Ph: (303) 486-5401 | 10371 S. Parkglenn Way Suite 230a Parker CO 80138 Ph: (303) 269-4333 |
NPI Number | 1144481102 |
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Provider Enumeration Date | 06/23/2008 |
Last Update Date | 05/09/2012 |
Identifier | Type | State | Issuer |
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1144481102 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 19871218588 (Colorado) | Primary |
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