Organization
PARKER INTEGRATED MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA JOHNSON MD (MEDICAL DIRECTOR)
(303) 841-9565
Entity
Organization
Contact information
Practice address
18801 E MAINSTREET STE 190, PARKER, CO 80134-3477
(303) 841-9565
Mailing address
18801 E MAINSTREET STE 190, PARKER, CO 80134-3477
(303) 841-9565
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
DR.0049380
CO
Other
Enumeration date
02/01/2017
Last updated
02/01/2017
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