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Colorado Integrated Clinics LLC

in Lafayette, CO. Organization (NPI-2).

NPI number1487952735
StatusActive
Last updated in NPPESMar 10, 2011

Details

NPI
1487952735
Entity type
Organization (NPI-2)
Legal business name
Colorado Integrated Clinics LLC
Organization subpart
No
Enumeration date
Mar 10, 2011
Last updated
Mar 10, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208VP0000X ––Yes

Practice location

380 Empire Rd Ste 101
Lafayette, CO 80026-2677

Phone 303-604-2660 · Fax 303-604-2665

Mailing address

380 Empire Rd Ste 101
Lafayette, CO 80026-2677

Phone 303-604-2660 · Fax 303-604-2665

Authorized official

Garret D Rock
President
3036042660

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