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Organization

ROCKY MOUNTIAN YOUTH CLINICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SOPHIA MEHARENA DO (MEDICAL DIRECTOR)
(303) 450-3690
Entity
Organization

Contact information

Practice address
9197 GRANT ST, SUITE 200, THORNTON, CO 80229-4329
(303) 450-3690
(303) 962-1511
Mailing address
9197 GRANT ST, SUITE 100, THORNTON, CO 80229-4329
(303) 450-3690
(303) 962-1511

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4312
CO

Other

Enumeration date
07/29/2015
Last updated
07/29/2015
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