Organization
LA CAMBRA CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE CRISPY (CEO)
(720) 666-0000
Entity
Organization
Contact information
Practice address
12835 E ARAPAHOE RD, CENTENNIAL, CO 80112-3940
(720) 666-0000
Mailing address
12835 E ARAPAHOE RD, CENTENNIAL, CO 80112-3940
(720) 666-0000
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
50505
CO
Other
Enumeration date
08/06/2012
Last updated
09/18/2012
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