Legacy Primary Care
NPI #1841090735 in Northglenn, Colorado
Provider Information
- NPI Number
- 1841090735
- Entity Type
- Organization
- Organization Name
- Legacy Primary Care
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Mar 18, 2025
- Last Updated
- Mar 18, 2025
Practice Location
- Address
- 11990 GRANT ST STE 110
- City
- Northglenn
- State
- Colorado
- ZIP Code
- 80233-1122
- Phone
- (720) 928-0244
Authorized Official
- Name
- DR. DERIC J RACHJAIBUN, MD
- Title
- OWNER
- Phone
- (720) 928-0244
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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