Organization
MILE HIGH PRIMARY CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESTELLA M MARES (OFFICE MANAGER)
(303) 341-4200
Entity
Organization
Contact information
Practice address
2230 S FRASER ST, UNIT 1, AURORA, CO 80014-4535
(303) 341-4200
(303) 341-4480
Mailing address
2230 S FRASER ST, UNIT 1, AURORA, CO 80014-4535
(303) 341-4200
(303) 341-4480
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04013231
—
CO
Enumeration date
02/24/2006
Last updated
12/21/2010
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