Organization
EDWARDS MEDICAL PROVIDER GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER AUSTIN (CFO)
(714) 926-5846
Entity
Organization
Contact information
Practice address
11951 E ILIFF AVE STE B, AURORA, CO 80014-4925
(855) 235-9792
Mailing address
2205 CORDILLERA WAY, EDWARDS, CO 81632-6290
(800) 478-0233
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/21/2021
Last updated
02/01/2024
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