Physician Management Services of Colorado Iii, LLC

NPI #1578398111 in Lakewood, Colorado

Provider Information

NPI Number: 1578398111
Entity Type: Organization
Organization Name: Physician Management Services of Colorado Iii, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: VAXCARE CORPORATION
Primary Specialty: Family Medicine
Enumeration Date: Sep 4, 2024
Last Updated: Sep 4, 2024

Practice Location

Address: 255 UNION BLVD STE 120
City: Lakewood
State: Colorado
ZIP Code: 80228-1833
Phone: (888) 829-8550

Authorized Official

Name: BRETT KENEFICK
Title: PRESIDENT
Phone: (888) 829-8550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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