INTERNAL MEDICINE ASSOC. OF WHEAT RIDGE P.C. NPI 1720139868

NPI Information

INTERNAL MEDICINE ASSOC. OF WHEAT RIDGE, P.C. is a specialist in Lakewood, CO. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. INTERNAL MEDICINE ASSOC. OF WHEAT RIDGE, P.C. NPI is 1720139868. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1805 KIPLING ST.
LAKEWOOD, CO
ZIP 80215
Phone: (303) 422-3727
Fax: (303) 467-9354

The provider's authorized official is Audrey Ray Dobbs .
The authorized official title is M.d. and has the following contact phone number (303) 422-3727.

The CLIA number assigned to this NPI record is 06D0960250 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/16/2007 and was last updated on 3/26/2010.

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:

Other Identifiers

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

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