Organization
CONCIERGE MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL NISSLER (CHIEF EXECUTIVE OFFICER)
(720) 412-4562
Entity
Organization
Contact information
Practice address
9777 S YOSEMITE ST, SUITE 110, LONE TREE, CO 80124-3191
(720) 412-4562
Mailing address
9777 S YOSEMITE ST, SUITE 220, LONE TREE, CO 80124-3191
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/17/2015
Last updated
04/17/2015
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