MEDICARE: SAGE FAMILY MEDICINE

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
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1942535448
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAGE FAMILY MEDICINE

Provider Business Mailing Address
First Line	:	413 SUMMIT BLVD
Second Line	:	SUITE 201
City	:	BROOMFIELD
State	:	CO
Zip	:	80021-8294
Country	:	US
Telephone Number	:	303-464-7243
Fax Number	:	303-469-2898

Provider Business Practice Location Address
First Line	:	413 SUMMIT BLVD
Second Line	:	SUITE 201
City	:	BROOMFIELD
State	:	CO
Zip	:	80021-8294
Country	:	US
Telephone Number	:	303-464-7243
Fax Number	:	303-469-2898

Authorized Official
Title or Position	:	OWNER
Name	:	DR. SARA GEORGE
Credential	:
Telephone Number	:	303-464-7243

Provider Enumeration Date	:	10/16/2009
Last Update Date	:	02/25/2010

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Directions to “SAGE FAMILY MEDICINE ” Practice Location

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