5280 Iom Pro, LLC
in Denver, CO. Organization (NPI-2).
NPI number1144779380
StatusActive
Last updated in NPPESSep 29, 2016
Details
- NPI
- 1144779380
- Entity type
- Organization (NPI-2)
- Legal business name
- 5280 Iom Pro, LLC
- Organization subpart
- No
- Enumeration date
- Sep 29, 2016
- Last updated
- Sep 29, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0600X | – | CO | Yes |
Practice location
1700 Bassett St Unit 1021Denver, CO 80202-1921
Phone 346-221-1597 · Fax 832-581-4677
Mailing address
Po Box 1651Crosby, TX 77532-1651
Phone 281-462-7684 · Fax 888-832-5078
Authorized official
Julieann Bishop
Co-Owner
3462211597
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