Organization
COLORADO INTERNAL MEDICINE CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERYL LYNN GRAHAM (OFFICE MANAGER)
(303) 320-7744
Entity
Organization
Contact information
Practice address
4545 E 9TH AVE, #670, DENVER, CO 80220-3901
(303) 320-7744
(303) 388-2003
Mailing address
4545 E 9 AVE, #670, DENVER, CO 80220
(303) 320-7744
(303) 388-2003
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74474073
—
CO
01
—
CI9125
RAILROAD MEDICARE
CO
Enumeration date
06/09/2006
Last updated
11/09/2007
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