# UNION SQUARE FAMILY PRACTICE

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

## Provider details

- **NPI number:** 1477572568
- **Authorized official:** DR. PAUL KRICHEVSKY M.D. (OWNER)
- **Authorized official phone:** (303) 986-9583

## Contact information

- **Practice address:** 255 UNION BLVD, SUITE 300, LAKEWOOD, CO 80228-1810
- **Practice address phone:** (303) 986-9583
- **Practice address fax:** (303) 986-2901
- **Mailing address:** 255 UNION BLVD, SUITE 300, LAKEWOOD, CO 80228-1810
- **Mailing address phone:** (303) 986-9583
- **Mailing address fax:** (303) 986-2901

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 13845 | CO | Yes |

## Other

- **Enumeration date:** 07/19/2006
- **Last updated:** 08/22/2020