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NPI Code Detail

MEDICARE: NEW WEST PHYSICIANS INC

MEDICARE: NEW WEST PHYSICIANS INC
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 Physician

General Provider Information

NPI Number : 1336808492
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW WEST PHYSICIANS INC
Provider Business Mailing Address
First Line : 1707 COLE BLVD STE 100
Second Line :
City : GOLDEN
State : CO
Zip : 80401-3219
Country : US
Telephone Number : 303-763-4900
Fax Number :
Provider Business Practice Location Address
First Line : 110 N RUBEY DR UNIT 200
Second Line :
City : GOLDEN
State : CO
Zip : 80403-3201
Country : US
Telephone Number : 303-376-0975
Fax Number : 303-731-3500
Authorized Official
Title or Position : CREDENTIALING COORDINATOR
Name : RHONDA HECKARD
Credential :
Telephone Number : 303-763-4900
Provider Enumeration Date : 12/15/2021
Last Update Date : 08/03/2022

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Directions to “NEW WEST PHYSICIANS INC ” Practice Location

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