Our Lady of Grace Medical Clinic PC
NPI #1356474647 in Northglenn, Colorado
Provider Information
- NPI Number
- 1356474647
- Entity Type
- Organization
- Organization Name
- Our Lady of Grace Medical Clinic PC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Mar 14, 2007
- Last Updated
- Mar 4, 2008
Practice Location
- Address
- 992 W 104TH AVE
- City
- Northglenn
- State
- Colorado
- ZIP Code
- 80234-3801
- Phone
- (303) 531-5181
Authorized Official
- Name
- DR. CARLOS F VERA, MD
- Title
- CEO
- Phone
- (303) 531-5181
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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