Golden Age

NPI #1639559206 in Aurora, Colorado

Provider Information

NPI Number: 1639559206
Entity Type: Organization
Organization Name: Golden Age
Primary Specialty: Point of Service
Enumeration Date: Jun 9, 2015
Last Updated: Jun 9, 2015

Practice Location

Address: 21595 E LAYTON LN
City: Aurora
State: Colorado
ZIP Code: 80015-6776
Phone: (720) 299-2506

Authorized Official

Name: TIMUR TASHKULOV
Title: ADMINISTRATOR
Phone: (720) 299-0506

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Point of Service	305S00000X	Primary

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