Organization
FAMILY CENTERED MEDICINE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER THOMAS PRUTCH NP (OWNER)
(303) 504-0600
Entity
Organization
Contact information
Practice address
2121 S ONEIDA ST STE 248, DENVER, CO 80224-2551
(303) 504-0600
Mailing address
2121 S ONEIDA ST STE 248, DENVER, CO 80224-2551
(303) 504-0600
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15883825
—
CO
Enumeration date
03/03/2008
Last updated
03/03/2008
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