South Denver Internal Medicine And Pediatrics, P.C.
Clinic/Center, Primary Care in Lone Tree, CO. Organization (NPI-2).
NPI number1376671628
StatusActive
Last updated in NPPESFeb 8, 2010
Details
- NPI
- 1376671628
- Entity type
- Organization (NPI-2)
- Legal business name
- South Denver Internal Medicine And Pediatrics, P.C.
- Organization subpart
- No
- Enumeration date
- Mar 1, 2007
- Last updated
- Feb 8, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | 33478 | CO | Yes |
Practice location
10103 Ridgegate PkwySuite 114
Lone Tree, CO 80124-5520
Phone 303-799-8890 · Fax 303-799-8891
Mailing address
10103 Ridgegate PkwySuite 114
Lone Tree, CO 80124-5520
Phone 303-799-8890 · Fax 303-799-8891
Authorized official
Charles Miranda
President
3037998890
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