Organization
EXEMPLA DIABETES CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMY DAWN BRADSHAW R.D., CDE (DIABETES EDUCATOR)
(303) 403-7930
Entity
Organization
Contact information
Practice address
3455 LUTHERAN PKWY, SUITE 270, WHEAT RIDGE, CO 80033-6028
(303) 403-7930
(303) 403-7945
Mailing address
3455 LUTHERAN PKWY STE 270, WHEAT RIDGE, CO 80033-6034
(303) 403-7930
(303) 403-7945
Taxonomy
Speciality
Code
Description
License number
State
281P00000X
Chronic Disease Hospital
Primary
0012680
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05608006
—
CO
Enumeration date
11/05/2008
Last updated
11/05/2008
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