Colorado Provider Network LLC

NPI #1649851155 in Lakewood, Colorado

Provider Information

NPI Number
1649851155
Entity Type
Organization
Organization Name
Colorado Provider Network LLC
Primary Specialty
Family Medicine - Adult Medicine
Enumeration Date
Apr 16, 2021
Last Updated
Jun 23, 2023

Practice Location

Address
1435 GARRISON ST STE 110
ZIP Code
80215-4748
Phone
(720) 241-3765

Authorized Official

Name
JOHN MARQUEZ, PA-C
Title
CEO
Phone
(720) 320-3218

Specialties & Taxonomy Codes

Specialty
Family Medicine - Adult MedicineAdult Medicine

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