Blue Nile Primary Care, LLC

NPI #1275072472 in Aurora, Colorado

Provider Information

NPI Number
1275072472
Entity Type
Organization
Organization Name
Blue Nile Primary Care, LLC
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Feb 21, 2017
Last Updated
Feb 21, 2017

Practice Location

Address
11275 E MISSISSIPPI AVE STE 2W2
City
Aurora
ZIP Code
80012-3263
Phone
(303) 856-7177

Authorized Official

Name
DR. JASON A HICKS, M.D.
Title
PRESIDENT
Phone
(303) 552-0657

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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