Organization
POTOMAC SQUARE FAMILY MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRESA SWITZER (CORPORATE CONTROLLER)
(303) 341-4730
Entity
Organization
Contact information
Practice address
730 W HAMPDEN AVE STE 200, ENGLEWOOD, CO 80110-2129
(720) 974-7466
(303) 953-7274
Mailing address
PO BOX 173848, DENVER, CO 80217-3848
(303) 945-3299
(303) 341-4708
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
91425859
—
CO
Enumeration date
07/28/2020
Last updated
09/15/2020
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