MEDICARE: PRIMARY CARE MEDICINE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	27322	CO

General Provider Information

NPI Number	:	1497087571
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRIMARY CARE MEDICINE

Provider Business Mailing Address
First Line	:	11175 E MISSISSIPPI AVE
Second Line	:	SUITE 220
City	:	AURORA
State	:	CO
Zip	:	80012-3137
Country	:	US
Telephone Number	:	303-341-4422
Fax Number	:	720-389-5849

Provider Business Practice Location Address
First Line	:	11175 E MISSISSIPPI AVE
Second Line	:	SUITE 220
City	:	AURORA
State	:	CO
Zip	:	80012-3137
Country	:	US
Telephone Number	:	303-341-4422
Fax Number	:	720-389-5849

Authorized Official
Title or Position	:	OWNER
Name	:	DR. SUNG Y RHIM
Credential	:	M.D.
Telephone Number	:	303-341-4422

Provider Enumeration Date	:	02/01/2010
Last Update Date	:	02/01/2010

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Directions to “PRIMARY CARE MEDICINE ” Practice Location

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