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Organization

DEPARTMENT OF VETERANS AFFAIRS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. VINCENT ANTHONY MODICA II MSW (CASE MANAGER)
(303) 316-6646
Entity
Organization

Contact information

Practice address
1055 CLERMONT ST, DENVER, CO 80220-3808
(303) 316-6645
(303) 393-5012
Mailing address
1055 CLERMONT ST, DENVER, CO 80220-3808
(303) 316-6645
(303) 393-5012

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary

Other

Enumeration date
03/17/2011
Last updated
03/17/2011
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