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Organization
WESTERN NEPHROLOGY & METABOLIC BONE DISEASE, P.C.
Active
Organization
WESTERN NEPHROLOGY & METABOLIC BONE DISEASE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE MOONEY (CREDENTIALING COORDINATOR)
(303) 456-5495
Entity
Organization
Contact information
Practice address
2655 CRESCENT DR STE D, LAFAYETTE, CO 80026-3373
(303) 443-4200
(303) 443-5470
Mailing address
4891 INDEPENDENCE ST STE 120, WHEAT RIDGE, CO 80033-6713
(303) 456-5495
(303) 456-7490
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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