Organization
EXEMPLA GOOD SAMARITAN MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GWENDELYN CHAPPELL M.S, RD (REGISTERED DIETITIAN)
(303) 689-4513
Entity
Organization
Contact information
Practice address
300 EXEMPLA CIR, LAFAYETTE, CO 80026-3397
(303) 689-4513
(303) 689-4519
Mailing address
2709 W 126TH AVE, BROOMFIELD, CO 80020-3842
(954) 592-2926
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
966486
CO
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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