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General NPI Number Information
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NPI Number | 1457888539
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Entity Type | Organization
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Legal Business Name | HEALTHFIT FAMILY MEDICINE, LLC
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Dates
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Enumeration Date | 05/19/2017
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Last Update Date | 03/15/2018
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Provider Practice Location Address
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Address Line | 2356 MEADOWS BLVD STE 140B
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City | CASTLE ROCK
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State | CO
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Zip | 80109-8405
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Country | US
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Telephone | 303-218-7774
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Fax | 303-660-5065
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Provider Business Mailing Address
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Address Line | 3464 S WILLOW ST STE 516
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City | DENVER
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State | CO
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Zip | 80231-4531
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Country | US
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Telephone | 303-755-2900
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Fax | 303-755-0404
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Authorized Official
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Title or Position | ADMINISTRATOR / OMA
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Name | ANGELA SKINNER
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Credential |
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Telephone | 303-673-7175
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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