Organization
AVISTA WOMENS CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MIKKI BAKER (BILLING LEAD)
(303) 439-8910
Entity
Organization
Contact information
Practice address
1225 CIMARRON DR, SUITE 101, LAFAYETTE, CO 80026-3812
(303) 439-8910
(720) 890-2868
Mailing address
90 HEALTH PARK DR, SUITE 290, LOUISVILLE, CO 80027-9757
(303) 439-8910
(303) 439-9134
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06483577
—
CO
Enumeration date
08/18/2009
Last updated
12/17/2020
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