Organization · NPI-2

5th Ave Family Practice & Cosmetics PLLC

Family Medicine · Aurora, CO

NPI number1346775343
StatusActive
Last updated in NPPESOct 31, 2017

Details

NPI
1346775343
Entity type
Organization (NPI-2)
Legal business name
5th Ave Family Practice & Cosmetics PLLC
Organization subpart
No
Enumeration date
Apr 27, 2017
Last updated
Oct 31, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineDR.0057175COYes

Practice location

2044 Clinton St
Unit B
Aurora, CO 80010-1003

Phone 303-360-7472

Mailing address

2044 Clinton St
Unit B
Aurora, CO 80010-1003

Phone 303-360-7472

Authorized official

Priscilla Owusu-Frimpong
Owner
3033607472

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