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Organization

MAGNOLIA MEDICAL COMPANY

Active
Other names
Magnolia Medical Group
Organization subpart
No

Provider details

NPI number
Authorized official
VALERIE LAVOIE (DIRECTOR OF OPERATION)
(303) 945-1155
Entity
Organization

Contact information

Practice address
2925 E COLFAX AVE, DENVER, CO 80206-1604
(303) 209-5115
Mailing address
PO BOX 29605, DEPT # 880927, PHOENIX, AZ 85038-9605
(303) 209-5115
(720) 638-5562

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
103T00000X
Psychologist
207R00000X
Internal Medicine Physician
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
208600000X
Surgery Physician
291U00000X
Clinical Medical Laboratory

Other

Enumeration date
05/11/2020
Last updated
02/17/2026
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