# PONDEROSA FAMILY PHYSICIANS PC

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

## Provider details

- **NPI number:** 1629021209
- **Authorized official:** STEVE P ELLIOTT (OFFICE MANAGER)
- **Authorized official phone:** (303) 537-1010

## Contact information

- **Practice address:** 14991 E HAMPDEN AVE, SUITE 210, AURORA, CO 80014
- **Practice address phone:** (303) 690-4891
- **Practice address fax:** (303) 690-5082
- **Mailing address:** 14991 E HAMPDEN AVE, SUITE 210, AURORA, CO 80014
- **Mailing address phone:** (303) 690-4891
- **Mailing address fax:** (303) 690-5082

## Taxonomy

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

## Other

- **Enumeration date:** 05/18/2006
- **Last updated:** 10/04/2013