Organization
COLUMBINE RIDGE FAMILY MEDICINE P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS GUSTAVO RODRIGUEZ M.D. (SHARE HOLDER/ DOCTOR)
(303) 875-8198
Entity
Organization
Contact information
Practice address
965 PLATTE RIVER BLVD, UNIT O BLDG 1, BRIGHTON, CO 80601-4353
(303) 655-9866
(303) 655-9869
Mailing address
965 PLATTE RIVER BLVD, UNIT O, BLDG 1, BRIGHTON, CO 80601-4353
(303) 655-9866
(303) 655-9869
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36368
CO
Other
Enumeration date
11/16/2007
Last updated
11/16/2007
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