Western Medical Center PC
Internal Medicine in Lakewood, CO. Organization (NPI-2).
NPI number1861691719
StatusActive
Last updated in NPPESJul 12, 2007
Details
- NPI
- 1861691719
- Entity type
- Organization (NPI-2)
- Legal business name
- Western Medical Center PC
- Organization subpart
- No
- Enumeration date
- Jul 12, 2007
- Last updated
- Jul 12, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 18721 | CO | Yes |
Practice location
1805 Kipling StLakewood, CO 80215
Phone 303-232-3232 · Fax 303-232-3232
Mailing address
1805 Kipling StLakewood, CO 80215
Phone 303-232-3232 · Fax 303-232-8922
Authorized official
Henry Manning Pickett
Medical Director Staff Physician
3032323232
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