Organization
MEDNET COLORADO MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DON BURRIS (MANAGER)
(303) 887-4138
Entity
Organization
Contact information
Practice address
14255 COUNTY ROAD 87, FLEMING, CO 80728-9602
(303) 887-4138
Mailing address
14255 COUNTY ROAD 87, FLEMING, CO 80728-9602
(303) 887-4138
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
293D00000X
Physiological Laboratory
—
—
Other
Enumeration date
02/28/2017
Last updated
02/28/2017
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