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Organization
IDENTITY HORMONES CO LLC
Active
Organization
IDENTITY HORMONES CO LLC
Active
Other names
Identity Hormones Denver
Organization subpart
No
Provider details
NPI number
Authorized official
TEAH PHILLIPS (CREDENTIALING MANAGER)
(901) 205-3999
Entity
Organization
Contact information
Practice address
7305 E 29TH AVE STE 220, DENVER, CO 80238-2701
(602) 354-3925
Mailing address
7305 E 29TH AVE STE 220, DENVER, CO 80238-2701
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
NULL
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
09/05/2023
Last updated
11/13/2023
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