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Organization

CMD PROFESSIONAL PROVIDER NETWORK LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LESLIE COPPIN (EXECUTIVE DIRECTOR)
(720) 837-7593
Entity
Organization

Contact information

Practice address
7345 S PIERCE ST, SUITE 202, LITTLETON, CO 80128-7207
(720) 837-7593
Mailing address
7345 S PIERCE ST, SUITE 202, LITTLETON, CO 80128-7207
(720) 837-7593

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
363L00000X
Nurse Practitioner
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
86484079
CO
01
TIN
CO
Enumeration date
02/06/2007
Last updated
09/11/2025
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