Organization
PHYSICIAN HOUSECALLS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA KAY MOON-WADELTON (AUTHORIZED OFFICIAL)
(720) 923-1250
Entity
Organization
Contact information
Practice address
12600 W COLFAX AVE STE B200, LAKEWOOD, CO 80215-3736
(720) 923-1250
(303) 284-4082
Mailing address
12600 W COLFAX AVE STE B200, LAKEWOOD, CO 80215-3736
(720) 923-1250
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42277531
—
CO
01
—
DE1013
RR MEDICARE PTAN
CO
Enumeration date
05/19/2006
Last updated
03/23/2026
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