Organization
MEDEX, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN FRANCIS GIBBONS PA-C (MEMBER)
(303) 591-5767
Entity
Organization
Contact information
Practice address
MEDEX, LLC, 98 WADSWORTH BLVD, UNIT 127-7122, LAKEWOOD, CO 80226-1553
(303) 591-5767
Mailing address
MEDEX, LLC, 98 WADSWORTH BLVD, UNIT 127-7122, LAKEWOOD, CO 80226-1553
(303) 591-5767
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09129227
—
CO
Enumeration date
03/09/2022
Last updated
03/09/2022
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