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Organization

ANCILLARY PRACTICE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM ALLEN GUNKEL (OWNER)
(720) 339-8758
Entity
Organization

Contact information

Practice address
6629 E HERITAGE PL N, CENTENNIAL, CO 80111-4667
(720) 339-8758
Mailing address
6629 E HERITAGE PL N, CENTENNIAL, CO 80111-4667
(720) 339-8758

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
09/16/2015
Last updated
09/16/2015
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