# RALSTON VALLEY FAMILY PRACTICE LLC

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

## Provider details

- **NPI number:** 1952386260
- **Authorized official:** DAVID DOIG (MEMBER MANAGER)
- **Authorized official phone:** (303) 422-3491

## Contact information

- **Practice address:** 12001 W 63RD PL, ARVADA, CO 80004-4034
- **Practice address phone:** (303) 422-3491
- **Mailing address:** 12001 W 63RD PL, ARVADA, CO 80004-4034
- **Mailing address phone:** (303) 422-3491

## Taxonomy

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

## Other

- **Enumeration date:** 12/09/2005
- **Last updated:** 08/22/2020