Organization
BLUE NILE PRIMARY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON A HICKS M.D. (PRESIDENT)
(303) 552-0657
Entity
Organization
Contact information
Practice address
11275 E MISSISSIPPI AVE STE 2W2, AURORA, CO 80012-3263
(303) 856-7177
Mailing address
195 INVERNESS DR W, SUITE 120, ENGLEWOOD, CO 80112-5206
(303) 552-0657
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
DR0046896
CO
Other
Enumeration date
02/21/2017
Last updated
02/21/2017
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