Organization
OPTUMCARE COLORADO MEDICAL GROUP LLC
Active
Other names
New West Physicians Specialty Center
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY CASTILLO (ASSOCIATE DIRECTOR CREDENTIALING)
(702) 579-3253
Entity
Organization
Contact information
Practice address
1707 COLE BLVD STE 150, GOLDEN, CO 80401-3255
(303) 716-8027
(303) 238-5258
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(719) 463-5600
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
2084N0400X
Neurology Physician
Primary
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
363A00000X
Physician Assistant
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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