Organization
TIMBERVIEW CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RON SHARP (OFFICE MANAGER)
(303) 269-4464
Entity
Organization
Contact information
Practice address
1400 S POTOMAC ST, SUITE 215, AURORA, CO 80012-4528
(303) 306-1039
(303) 306-1050
Mailing address
1400 S POTOMAC ST, SUITE 215, AURORA, CO 80012-4528
(303) 306-1039
(303) 306-1050
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
208011, 206336
CO
208000000X
Pediatrics Physician
77105,77106
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12721042
—
CO
Enumeration date
03/20/2006
Last updated
11/30/2009
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