# COLUMBINE RIDGE FAMILY MEDICINE P C

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

## Provider details

- **NPI number:** 1548441611
- **Authorized official:** DR. CARLOS GUSTAVO RODRIGUEZ M.D. (SHARE HOLDER/ DOCTOR)
- **Authorized official phone:** (303) 875-8198

## Contact information

- **Practice address:** 965 PLATTE RIVER BLVD, UNIT O BLDG 1, BRIGHTON, CO 80601-4353
- **Practice address phone:** (303) 655-9866
- **Practice address fax:** (303) 655-9869
- **Mailing address:** 965 PLATTE RIVER BLVD, UNIT O, BLDG 1, BRIGHTON, CO 80601-4353
- **Mailing address phone:** (303) 655-9866
- **Mailing address fax:** (303) 655-9869

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 36368 | CO | Yes |

## Other

- **Enumeration date:** 11/16/2007
- **Last updated:** 11/16/2007