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1649851155
COLORADO PROVIDER NETWORK LLC
LAKEWOOD, CO
NPI
1649851155
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Entity Type
Organization
Authorized Contact
JOHN MARQUEZ
CEO
720-320-3218
Organization Subpart ?
No
Primary Taxonomy
207QA0505X Family Medicine, Adult Medicine
Enumeration Date
2021-04-16
Last Update Date
2023-06-23
Business Address
COLORADO PROVIDER NETWORK LLC
1435 GARRISON ST STE 110
LAKEWOOD, CO 80215-4748
Phone number: 720-241-3765
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Mailing Address
COLORADO PROVIDER NETWORK LLC
PO BOX 12375
DENVER, CO 80212-0375
Phone number: 303-668-5231
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