Organization
SOUTHEAST FAMILY PRACTICE ASSOCIATES P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D MORRISON MD (PRESIDENT)
(303) 777-0577
Entity
Organization
Contact information
Practice address
950 E HARVARD AVE, SUITE 110, DENVER, CO 80210-7009
(303) 777-0577
(303) 777-1197
Mailing address
950 E HARVARD AVE, SUITE 110, DENVER, CO 80210-7009
(303) 777-0577
(303) 777-1197
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04637047
—
CO
01
—
CS2243
RAILROAD MEDICARE
CO
01
—
SE63704
BLUE SHIELD
CO
Enumeration date
05/26/2006
Last updated
04/15/2010
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