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NPI Code Detail

MEDICARE: DOUGLAS FAMILY MEDICINE, P.C.

MEDICARE: DOUGLAS FAMILY MEDICINE, P.C.
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
1207Q00000XFamily Medicine Physician23157CO

General Provider Information

NPI Number : 1770602013
Entity Type Code : Organization
Provider Name (Legal Business Name) : DOUGLAS FAMILY MEDICINE, P.C.
Provider Business Mailing Address
First Line : 1189 S PERRY ST STE 230
Second Line :
City : CASTLE ROCK
State : CO
Zip : 80104-1959
Country : US
Telephone Number : 303-688-3434
Fax Number : 303-688-4454
Provider Business Practice Location Address
First Line : 1189 S PERRY ST STE 230
Second Line :
City : CASTLE ROCK
State : CO
Zip : 80104-1959
Country : US
Telephone Number : 303-688-3434
Fax Number : 303-688-4454
Authorized Official
Title or Position : PRESIDENT
Name : DR. BELTON DOUGLAS HALLMARK
Credential : M.D.
Telephone Number : 303-688-3434
Provider Enumeration Date : 03/28/2007
Last Update Date : 11/02/2021

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Directions to “DOUGLAS FAMILY MEDICINE, P.C. ” Practice Location

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