COLORADO PROVIDER NETWORK LLC NPI 1649851155

NPI Information

COLORADO PROVIDER NETWORK LLC is an adult medicine family medicine in Lakewood, CO. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. COLORADO PROVIDER NETWORK LLC NPI is 1649851155. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1435 GARRISON ST STE 110
LAKEWOOD, CO
ZIP 80215-748
Phone: (720) 241-3765

The provider's authorized official is John Marquez .
The authorized official title is Ceo and has the following contact phone number (720) 320-3218.

The enumeration date for this NPI number is 4/16/2021 and was last updated on 6/23/2023.

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:

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