Organization
CCRM MANAGMENT COMPANY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON PARDEW (CHIEF EXECUTIVE OFFICER)
(303) 968-1950
Entity
Organization
Contact information
Practice address
10290 RIDGEGATE CIR, LONE TREE, CO 80124-5331
(303) 625-9134
Mailing address
9380 STATION ST STE 4245, LONE TREE, CO 80124-6831
Taxonomy
Speciality
Code
Description
License number
State
261QA0006X
Ambulatory Fertility Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
303.968.1950
PHONE
—
Enumeration date
07/06/2018
Last updated
07/06/2018
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