Organization
PRAIRIE FAMILY PHYSICIANS PC
Active
Other names
Evergreen Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RIK SANTAGUIDA MD (OWNER MEDICAL DIRECTOR)
(303) 674-8700
Entity
Organization
Contact information
Practice address
3951 EVERGREEN PKWY, EVERGREEN, CO 80439
(303) 674-8700
(303) 674-0313
Mailing address
3951 EVERGREEN PKWY, EVERGREEN, CO 80439
(303) 674-8700
(303) 674-0313
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
22538
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01225382
—
CO
Enumeration date
10/12/2006
Last updated
02/12/2008
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