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Organization

MM WADDELL HEALTH SERVICES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARTHA MELROSE WADDELL M.D. (OWNER/PHYSICIAN)
(720) 384-7526
Entity
Organization

Contact information

Practice address
3205 S HIGH ST, ENGLEWOOD, CO 80113-3028
(720) 384-7526
(303) 839-7936
Mailing address
3205 S HIGH ST, ENGLEWOOD, CO 80113-3028
(720) 384-7526
(303) 839-7936

Taxonomy

Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
42011
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
32278845
CO
01
C806878
MEDICARE PTAN
CO
01
G88354
UPIN
Enumeration date
02/01/2010
Last updated
02/01/2010
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