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Organization
COLORADO PROVIDER NETWORK LLC
Active
Organization
COLORADO PROVIDER NETWORK LLC
Active
Other names
Achieve Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN EDWARD MARQUEZ (OWNER)
(720) 241-3765
Entity
Organization
Contact information
Practice address
1435 GARRISON ST STE 110, LAKEWOOD, CO 80215-4748
(720) 241-3765
Mailing address
PO BOX 12375, DENVER, CO 80212-0375
(970) 664-2497
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
NULL
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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