Organization
FOOTHILLS VACCINE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARCY KOEHN (PRESIDENT)
(303) 720-9369
Entity
Organization
Contact information
Practice address
2679 W MAIN ST STE 300-220, LITTLETON, CO 80120-1950
(303) 720-9369
Mailing address
2679 W MAIN ST, LITTLETON, CO 80120-1950
(720) 669-3470
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/05/2021
Last updated
01/09/2025
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