# ROCK CREEK MEDI SPA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427428556
- **Authorized official:** LYNDA MARIE YOUNG (PRESIDENT)
- **Authorized official phone:** (303) 543-8304

## Contact information

- **Practice address:** 2600 S ROCK CREEK PKWY, SUPERIOR, CO 80027-4498
- **Practice address phone:** (303) 543-8304
- **Mailing address:** 8280 LAMAR PL, ARVADA, CO 80003-1734
- **Mailing address phone:** (303) 543-8304

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 613928 | CO | Yes |

## Other

- **Enumeration date:** 10/01/2015
- **Last updated:** 10/01/2015