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Organization

MAYFAIR INTERNAL MEDICINE, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. EDITH SARAH LOVEGREN MD (PHYSICIAN PARTNER)
(303) 333-6434
Entity
Organization

Contact information

Practice address
6311 E 14TH AVE, DENVER, CO 80220-2821
(303) 333-6434
(303) 333-6505
Mailing address
6311 E 14TH AVE, DENVER, CO 80220-2821
(303) 333-6434
(303) 333-6505

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04016044
CO
01
MAC
GROUP BLUE CROSS BLUE SHI
CO
Enumeration date
05/14/2007
Last updated
11/04/2010
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