Organization
BOTTOM LINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN YOUNG (SECRETARY)
(720) 382-2425
Entity
Organization
Contact information
Practice address
11949 W COLFAX AVE, LAKEWOOD, CO 80215-3715
(720) 382-2425
Mailing address
11949 W COLFAX AVE, LAKEWOOD, CO 80215-3715
(720) 382-2425
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35801786
—
CO
Enumeration date
04/04/2008
Last updated
04/04/2008
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