Organization
GENESIS MEDICAL AND REHABILITATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLYDE JOHNSON DC (OWNER)
(720) 515-8002
Entity
Organization
Contact information
Practice address
5950 S WILLOW DR, SUITE 200, GREENWOOD VILLAGE, CO 80111-5170
(720) 515-8002
Mailing address
5950 S WILLOW DR, SUITE 200, GREENWOOD VILLAGE, CO 80111-5170
(720) 515-8002
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
CHR.0006922
CO
261QP3300X
Pain Clinic/Center
Primary
EL.2786103
CO
261QU0200X
Urgent Care Clinic/Center
CHR.0006922
CO
Other
Enumeration date
04/07/2016
Last updated
04/07/2016
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