Healthcare Provider Details

I. General information

NPI: 1629199062
Provider Name (Legal Business Name): CHRMEG MED INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2007
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10259 S. PARKER ROAD SUITE 200
PARKER CO
80134
US

IV. Provider business mailing address

10259 S. PARKER ROAD SUITE 200
PARKER CO
80134
US

V. Phone/Fax

Practice location:
  • Phone: 303-805-2273
  • Fax: 303-805-2287
Mailing address:
  • Phone: 303-805-2273
  • Fax: 303-805-2287

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number40652
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number1179
License Number StateCO

VIII. Authorized Official

Name: DR. CHRISTOPHER J WEST
Title or Position: PRACTICE OWNER/PHYSICIAN
Credential: D.O.
Phone: 303-805-2273