Organization
COLORADO KNEE AND SPINE CLINIC, INC
Active
Other names
First Care Primary Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFF SELANO DC (OWNER/CEO)
(720) 681-6170
Entity
Organization
Contact information
Practice address
6726 S REVERE PKWY STE 180, CENTENNIAL, CO 80112-3962
(720) 681-6170
Mailing address
6726 S REVERE PKWY STE 180, CENTENNIAL, CO 80112-3962
(720) 681-6170
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000201584
—
CO
Enumeration date
08/26/2019
Last updated
03/07/2022
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