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Organization

STONE MOUNTAIN HEALTHCARE, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ELIZABETH KELTS MD (PRESIDENT)
(303) 465-3316
Entity
Organization

Contact information

Practice address
12081 W ALAMEDA PKWY STE 438, LAKEWOOD, CO 80228-2701
(303) 551-3643
Mailing address
14774 FENTON ST, BROOMFIELD, CO 80020-6116
(303) 465-3316
(303) 465-3646

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
43943
CO

Other

Enumeration date
05/07/2015
Last updated
07/30/2021
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