Organization
COLORADO GERIATRIC CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONYA C KOHL (MANAGER)
(702) 423-6894
Entity
Organization
Contact information
Practice address
2460 W 26TH AVE, SUITE C360, DENVER, CO 80211-5308
(303) 831-6686
(720) 932-9255
Mailing address
PO BOX 40065, DENVER, CO 80204-0065
(303) 831-6686
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
41657
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
57476586
—
CO
Enumeration date
03/08/2007
Last updated
12/20/2017
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