Organization
ROCKY MOUNTAIN GASTROENTEROLOGY ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER P. CMIL (CFO)
(303) 205-1090
Entity
Organization
Contact information
Practice address
3333 S WADSWORTH BLVD, STE. D-100, LAKEWOOD, CO 80227-5122
(303) 205-1090
(303) 205-1120
Mailing address
3333 S WADSWORTH BLVD, STE. D-100, LAKEWOOD, CO 80227-5122
(303) 205-1090
(303) 205-1120
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04018503
—
CO
01
—
CN3117
RAILROAD MEDICARE
—
Enumeration date
06/11/2006
Last updated
11/04/2016
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