Organization
SOUTH FEDERAL FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROY J. DURBIN M.D. (MEDICAL DIRECTOR)
(303) 934-2202
Entity
Organization
Contact information
Practice address
1930 S FEDERAL BLVD, #A, DENVER, CO 80219-5580
(303) 934-2202
(303) 934-1473
Mailing address
1930 S FEDERAL BLVD, #A, DENVER, CO 80219-5580
(303) 934-2202
(303) 934-1473
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034303260
—
CO
Enumeration date
04/23/2007
Last updated
09/09/2014
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