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Organization

ADVANCED HEALTH CARE ONE CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN VAN WU M.D. (MEDICAL DIRECTOR)
(303) 237-6162
Entity
Organization

Contact information

Practice address
2789 W ALAMEDA AVE, DENVER, CO 80219-3080
(303) 237-6162
(303) 237-6165
Mailing address
2789 W ALAMEDA AVE, DENVER, CO 80219-3080
(303) 237-6162
(303) 237-6165

Taxonomy

Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
37847
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
49173570
CO
Enumeration date
07/18/2008
Last updated
07/18/2008
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