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Organization

OPTUMCARE COLORADO MEDICAL GROUP LLC

Active
Other names
New West Physicians Inc
Organization subpart
No

Provider details

NPI number
Authorized official
EMILY CASTILLO (REGIONAL MEDICAL STAFF MANAGER)
(702) 480-2550
Entity
Organization

Contact information

Practice address
1707 COLE BLVD STE 100, GOLDEN, CO 80401-3219
(303) 763-4900
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 480-2550

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207R00000X
Internal Medicine Physician
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
207RP1001X
Pulmonary Disease Physician
207RR0500X
Rheumatology Physician
2084N0400X
Neurology Physician
2084P0800X
Psychiatry Physician
213ES0103X
Foot & Ankle Surgery Podiatrist

Other

Enumeration date
03/01/2024
Last updated
07/09/2024
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