Organization
STANDLEY LAKE MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PANKAJ GARG (CO-OWNER)
(720) 333-1589
Entity
Organization
Contact information
Practice address
8725 WADSWORTH BLVD, UNIT A, ARVADA, CO 80003-0928
(303) 425-7298
Mailing address
8725 WADSWORTH BLVD, UNIT A, ARVADA, CO 80003-0928
(303) 425-7298
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MT0013340
CO
Other
Enumeration date
05/15/2015
Last updated
05/15/2015
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