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Organization
PLATTE VALLEY MEDICAL GROUP, LLC
Active
Organization
PLATTE VALLEY MEDICAL GROUP, LLC
Active
Parent organization
BRIGHTON COMMUNITY HOSPITAL ASSOCIATION
Other names
Fort Lupton Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRIGHTON COMMUNITY HOSPITAL ASSOCIATION
Authorized official
JON MCDANIEL (VP FINANCE)
(303) 272-0231
Entity
Organization
Contact information
Practice address
1450 DEXTER ST STE 101, FORT LUPTON, CO 80621-1503
(303) 857-2087
(303) 857-2385
Mailing address
1450 DEXTER ST STE 101, FORT LUPTON, CO 80621-1503
(303) 857-2087
(303) 857-2385
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/28/2020
Last updated
09/27/2023
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