Provident Senior Health, Inc.

NPI #1780640169 in Englewood, Colorado

Provider Information

NPI Number
1780640169
Entity Type
Organization
Organization Name
Provident Senior Health, Inc.
Primary Specialty
Internal Medicine
Enumeration Date
Apr 25, 2006
Last Updated
Aug 19, 2013

Practice Location

Address
799 E HAMPDEN AVE
Address 2
SUITE 300
ZIP Code
80113-2700
Phone
(303) 493-5270

Authorized Official

Name
BILL NOONING
Title
CEO
Phone
(303) 493-5270

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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