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
Update your record
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