Healthcare Provider Details
I. General information
NPI: 1386093391
Provider Name (Legal Business Name): WMC EMPLOYER PARTNERS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/09/2016
Last Update Date: 06/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8601 TURNPIKE DR #200
WESTMINSTER CO
80031-7043
US
IV. Provider business mailing address
8601 TURNPIKE DR #200
WESTMINSTER CO
80031-7043
US
V. Phone/Fax
- Phone: 303-428-7449
- Fax:
- Phone: 303-428-7449
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CAITLIN
BARBA
Title or Position: PRACTICE MANAGER
Credential:
Phone: 303-487-5166