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Organization

SWEDISH PORTER EKG INTERPRETATION SERVICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD B CAPEK MD (MANAGING PARTNER)
(303) 744-2706
Entity
Organization

Contact information

Practice address
501 E HAMPDEN AVE, ENGLEWOOD, CO 80113-2702
(303) 744-2706
Mailing address
3464 S WILLOW ST, DENVER, CO 80231-4531
(303) 755-2900
(303) 755-0404

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
207RC0000X
Cardiovascular Disease Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04011177
CO
01
CQ2158
RAILROAD MEDICARE
CO
01
SWP5004
BLUE SHIELD
CO
Enumeration date
05/03/2006
Last updated
11/30/2007
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