Organization
TRUCARE MTM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEN RODERICK (OWNER)
(720) 295-4229
Entity
Organization
Contact information
Practice address
2283 S MONACO PKWY STE 101, DENVER, CO 80222-5845
(720) 295-4229
Mailing address
4860 CHAMBERS RD # 206, DENVER, CO 80239-5152
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
0002005990
CO
Other
Enumeration date
04/28/2016
Last updated
04/28/2016
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