Organization
MSK MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
W RAFER LEACH M.D. (OWNER)
(303) 870-8870
Entity
Organization
Contact information
Practice address
1 BROADWAY, A-100, DENVER, CO 80203-3959
(303) 455-6345
(303) 455-6343
Mailing address
1 BROADWAY, A-100, DENVER, CO 80203-3959
(303) 455-6345
(303) 455-6343
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
38790
CO
Other
Enumeration date
04/29/2014
Last updated
04/29/2014
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