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Organization

BELMAR FAMILY MEDICINE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TRACY S HOFEDITZ MD (OWNER/PHYSICIAN)
(303) 232-8383
Entity
Organization

Contact information

Practice address
325 S TELLER ST, SUITE 250, LAKEWOOD, CO 80226
(303) 232-8383
(303) 232-8207
Mailing address
325 S TELLER ST, SUITE 250, LAKEWOOD, CO 80226
(303) 232-8383
(303) 232-8207

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29068
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C808884
MEDICARE PTAN
CO
Enumeration date
08/09/2006
Last updated
12/16/2010
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