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Organization

CREEKSIDE SPECIALTY PHYSICIANS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MATTHEW P OROURKE (CEO)
(303) 902-5657
Entity
Organization

Contact information

Practice address
120 OLD LARAMIE TRL E, LAFAYETTE, CO 80026-7012
(303) 926-9800
Mailing address
120 OLD LARAMIE TRL E, LAFAYETTE, CO 80026-7012
(303) 926-9800

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
CO

Other

Enumeration date
12/09/2013
Last updated
12/09/2013
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