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NPI Code Detail

MEDICARE: DENVER RECOVERY GROUP LLC

MEDICARE: DENVER RECOVERY GROUP LLC
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 : 1619743010
Entity Type Code : Organization
Provider Name (Legal Business Name) : DENVER RECOVERY GROUP LLC
Provider Business Mailing Address
First Line : 2531 AIRPORT RD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80910-3119
Country : US
Telephone Number : 719-300-7021
Fax Number : 303-953-8830
Provider Business Practice Location Address
First Line : 2531 AIRPORT RD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80910-3119
Country : US
Telephone Number : 719-300-7021
Fax Number : 303-953-8830
Authorized Official
Title or Position : BILLING MANAGER
Name : KARLA CHAVEZ
Credential :
Telephone Number : 575-993-5225
Provider Enumeration Date : 11/28/2023
Last Update Date : 11/28/2023

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Directions to “DENVER RECOVERY GROUP LLC ” Practice Location

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