Organization
GERIATRIC AND FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL FISHMAN MD (OWNER)
(303) 742-0086
Entity
Organization
Contact information
Practice address
8015 W ALAMEDA AVE, 210, LAKEWOOD, CO 80226-3041
(303) 742-0086
(303) 742-0690
Mailing address
2582 S INDEPENDENCE ST, LAKEWOOD, CO 80227-2846
(303) 883-1167
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
3336
CO
Other
Enumeration date
12/19/2011
Last updated
12/19/2011
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