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CMD PROFESSIONAL PROVIDER NETWORK LLC NPI 1184764771


NPI Information

NPI: 1184764771
Provider Name: CMD PROFESSIONAL PROVIDER NETWORK LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
7345 S PIERCE ST
SUITE 202
LITTLETON, CO
ZIP 80128
Phone: (720) 837-7593
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CMD PROFESSIONAL PROVIDER NETWORK LLC is a family medicine in Littleton, CO. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CMD PROFESSIONAL PROVIDER NETWORK LLC NPI is 1184764771. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7345 S PIERCE ST
SUITE 202
LITTLETON, CO
ZIP 80128-207
Phone: (720) 837-7593

The provider's authorized official is Leslie Coppin .
The authorized official title is Executive Director and has the following contact phone number (720) 837-7593.

The enumeration date for this NPI number is 2/6/2007 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes
2207R00000XInternal MedicineX
3363L00000XNurse PractitionerX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1TINOTHERCOLORADO
286484079MEDICAIDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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