OUR LADY OF GRACE MEDICAL CLINIC PC

NORTHGLENN, CO
NPI1356474647
Entity TypeOrganization
Authorized ContactCARLOS F VERA
CEO
303-531-5181
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2007-03-14
Last Update Date2008-03-04
Business Address
OUR LADY OF GRACE MEDICAL CLINIC PC
992 W 104TH AVE
NORTHGLENN, CO 80234-3801
Phone number: 303-531-5181
Mailing Address
OUR LADY OF GRACE MEDICAL CLINIC PC
PO BOX 350968
WESTMINSTER, CO 80035-0968
Phone number: 303-531-5181