Organization
UNION SQUARE FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL KRICHEVSKY M.D. (OWNER)
(303) 986-9583
Entity
Organization
Contact information
Practice address
255 UNION BLVD, SUITE 300, LAKEWOOD, CO 80228-1810
(303) 986-9583
(303) 986-2901
Mailing address
255 UNION BLVD, SUITE 300, LAKEWOOD, CO 80228-1810
(303) 986-9583
(303) 986-2901
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13845
CO
Other
Enumeration date
07/19/2006
Last updated
08/22/2020
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