Organization
THE LITTLE CLINIC OF COLORADO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS SHELLY (VP & GENERAL MANAGER)
(615) 425-4200
Entity
Organization
Contact information
Practice address
12959 S PARKER RD, PARKER, CO 80134-3447
(720) 842-4089
(720) 842-4090
Mailing address
PO BOX 932958, CLEVELAND, OH 44193-0028
(888) 852-2567
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000165406
—
CO
Enumeration date
10/08/2020
Last updated
10/22/2025
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