Organization · NPI-2

Axiom Integrative Health PC

Family Medicine · Centennial, CO

NPI number1114763000
StatusActive
Last updated in NPPESAug 15, 2024

Details

NPI
1114763000
Entity type
Organization (NPI-2)
Legal business name
Axiom Integrative Health PC
Organization subpart
No
Enumeration date
Jul 1, 2024
Certification date
Aug 15, 2024
Last updated
Aug 15, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

5657 S Himalaya St # 280
Centennial, CO 80015-5307

Phone 720-994-2966

Mailing address

5657 S Himalaya St # 280
Centennial, CO 80015-5307

Authorized official

Tamara Johnson
Ceo
3086601634

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