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NPI Code Detail

MEDICARE: CONIFER MEDICAL CENTER, PC

MEDICARE: CONIFER MEDICAL CENTER, 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
1261QP2300XPrimary Care Clinic/Center38043CO

General Provider Information

NPI Number : 1831166412
Entity Type Code : Organization
Provider Name (Legal Business Name) : CONIFER MEDICAL CENTER, PC
Provider Business Mailing Address
First Line : 26659 PLEASANT PARK RD
Second Line :
City : CONIFER
State : CO
Zip : 80433-7714
Country : US
Telephone Number : 303-674-0605
Fax Number : 303-674-9496
Provider Business Practice Location Address
First Line : 26659 PLEASANT PARK RD
Second Line :
City : CONIFER
State : CO
Zip : 80433-7714
Country : US
Telephone Number : 303-674-0605
Fax Number : 303-674-9496
Authorized Official
Title or Position : PRACTICE ADMINISTRATOR
Name : DENISE STUART
Credential :
Telephone Number : 303-647-5280
Provider Enumeration Date : 03/02/2006
Last Update Date : 07/26/2022

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Directions to “CONIFER MEDICAL CENTER, PC ” Practice Location

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