Organization
GERISERVE P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE GILMORE PAC (EXECUTIVE DIRECTOR)
(303) 919-4503
Entity
Organization
Contact information
Practice address
103 SANDLER DR, LAFAYETTE, CO 80026-2536
(303) 919-4503
(720) 887-4663
Mailing address
103 SANDLER DR, LAFAYETTE, CO 80026-2536
(303) 919-4503
(720) 887-4663
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
788
CO
Other
Enumeration date
12/29/2006
Last updated
08/22/2020
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