# MVC COLORADO PC

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

## Provider details

- **NPI number:** 1598390247
- **Authorized official:** KAITLYN DURVIN (PROJECT ASSOCIATE)
- **Authorized official phone:** (855) 874-4999

## Contact information

- **Practice address:** 6795 E TENNESSEE AVE STE 175, DENVER, CO 80224-1646
- **Practice address phone:** (303) 690-4882
- **Mailing address:** 82 HARTWELL ST, FALL RIVER, MA 02721-3025

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/03/2020
- **Last updated:** 03/03/2020