Organization
CLINICA COLORADO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEVRA FREGIN (INTERIM EXECUTIVE DIRECTOR)
(720) 388-6491
Entity
Organization
Contact information
Practice address
8300 ALCOTT ST STE 300, WESTMINSTER, CO 80031-4030
(720) 443-8461
(833) 992-2280
Mailing address
8300 ALCOTT ST STE 300, WESTMINSTER, CO 80031-4030
(720) 443-8461
(720) 923-1223
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
20368
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
28025075
—
CO
Enumeration date
06/07/2011
Last updated
11/07/2023
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