Internal Aesthetic Medicine, LLC

NPI #1588055255 in Franktown, Colorado

Provider Information

NPI Number: 1588055255
Entity Type: Organization
Organization Name: Internal Aesthetic Medicine, LLC
Primary Specialty: Internal Medicine
Enumeration Date: Feb 16, 2015
Last Updated: Feb 16, 2015

Practice Location

Address: 2400 S RUSSELLVILLE RD
City: Franktown
State: Colorado
ZIP Code: 80116-8557
Phone: (303) 814-1854

Authorized Official

Name: DR. EDWARD CARRIERE JR., MD
Title: OWNER
Phone: (303) 814-1854

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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