LEGACY PRIMARY CARE is a primary care clinic center in Northglenn, CO. LEGACY PRIMARY CARE NPI is 1841090735. The provider is registered as an organization entity type.
The provider's business location address is:
11990 GRANT ST STE 110 NORTHGLENN, CO ZIP 80233-122 Phone: (720) 928-0244 Fax: (720) 928-0247
The provider's authorized official is Deric J Rachjaibun . The authorized official title is Owner and has the following contact phone number (720) 928-0244.
The enumeration date for this NPI number is 3/18/2025 and was last updated on 3/18/2025.
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:
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: 11/21/2025
NPI Synchronization or Removal
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