Organization
GREEN VALLEY RANCH MEDICAL CLINIC & URGENT CARE
Active
Other names
Augustine U Obinnah
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUGUSTINE UJUNWA OBINNAH M.D. (MEMBER/OWNER)
(303) 344-8700
Entity
Organization
Contact information
Practice address
4809 ARGONNE ST, SUITE 100, DENVER, CO 80249-6834
(303) 344-8700
(303) 344-0200
Mailing address
4809 ARGONNE ST, SUITE 100, DENVER, CO 80249-6834
(303) 344-8700
(303) 344-0200
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18970222
—
CO
01
—
GA665239
BLUE CROSS
—
Enumeration date
01/12/2007
Last updated
11/09/2016
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