Organization
CITY PARK FAMILY PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
L ELANE SHIRAR (PRESIDENT)
(303) 388-4091
Entity
Organization
Contact information
Practice address
2040 HIGH ST, DENVER, CO 80205-5556
(303) 388-4091
(303) 377-0967
Mailing address
2040 HIGH ST, DENVER, CO 80205-5556
(303) 388-4091
(303) 377-0967
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10673741
—
CO
Enumeration date
06/24/2006
Last updated
12/07/2011
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