Organization
COAL CREEK FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONIELLE DUTTON (PRACTICE MANAGER)
(303) 666-7119
Entity
Organization
Contact information
Practice address
1044 S 88TH ST, STE 200, LOUISVILLE, CO 80027-9417
(303) 666-7119
(303) 666-5995
Mailing address
1044 S 88TH ST, STE 200, LOUISVILLE, CO 80027-9417
(303) 666-7119
(303) 666-5995
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/27/2007
Last updated
09/04/2008
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