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NPI Code Detail

MEDICARE: ROCKY MOUNTAIN PRIMARY CARE , PC

MEDICARE: ROCKY MOUNTAIN PRIMARY CARE , PC
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
1207R00000XInternal Medicine Physician
2207Q00000XFamily Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1RO103008OTHERCOGROUP ANTHEM BCBS
21215981634OTHERCOGROUP NPI #
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215981634
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROCKY MOUNTAIN PRIMARY CARE , PC
Provider Business Mailing Address
First Line : 7625 W 92ND AVE
Second Line :
City : WESTMINSTER
State : CO
Zip : 80021-4567
Country : US
Telephone Number : 303-252-7790
Fax Number : 303-650-2287
Provider Business Practice Location Address
First Line : 7625 W 92ND AVE
Second Line :
City : WESTMINSTER
State : CO
Zip : 80021-4567
Country : US
Telephone Number : 303-252-7790
Fax Number : 303-650-2287
Authorized Official
Title or Position : ADMINISTRATOR
Name : ROBIN CAMPBELL
Credential :
Telephone Number : 256-282-9568
Provider Enumeration Date : 05/20/2006
Last Update Date : 12/11/2024

Similar Medicare Providers

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Practice Location Address:
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80021-4567
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1346224169 — DANIEL ROBERT GROSSMAN MD
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1013996982 — GREGORY THOMAS HIRONS M.D.
Practice Location Address:
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Practice Fax: 303-650-4118
1356320196 — JOHN DAVID GORDON M.D.
Practice Location Address:
7625 W 92ND AVE
WESTMINSTER, CO
80021-4567
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Practice Fax: 303-650-2287
1548221229 — MS. BEHICE OZBAY MD
Practice Location Address:
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1447272646 — DR. PETER LOWELL HANSEN M.D.
Practice Location Address:
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80021-4567
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Directions to “ROCKY MOUNTAIN PRIMARY CARE , PC ” Practice Location

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