Organization
INTERNAL AESTHETIC MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD CARRIERE JR. MD (OWNER)
(303) 814-1854
Entity
Organization
Contact information
Practice address
2400 S RUSSELLVILLE RD, FRANKTOWN, CO 80116-8557
(303) 814-1854
(303) 778-0202
Mailing address
2400 S RUSSELLVILLE RD, FRANKTOWN, CO 80116-8557
(303) 814-1854
(303) 778-0202
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0030907
CO
Other
Enumeration date
02/16/2015
Last updated
02/16/2015
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