Organization
COLORADO PERMANENTE MEDICAL GROUP, P.C.
Active
Parent organization
COLORADO PERMANENTE MEDICAL GROUP, P.C.
Other names
Kaiser Permanente Yosemite South Medical Offices
Organization subpart
Yes
Provider details
NPI number
Legal business name
COLORADO PERMANENTE MEDICAL GROUP, P.C.
Authorized official
MATTHEW J SPLINTER (CPMG CFO)
(303) 344-7345
Entity
Organization
Contact information
Practice address
9695 S YOSEMITE ST, STE 200, LONE TREE, CO 80124-2888
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04710083
—
CO
Enumeration date
07/21/2016
Last updated
05/25/2021
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