| NPI | 1972111979 |
|---|---|
| Doing Business As | PARK RIDGE FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | RHONDA HECKARD Credentialing Coordinator 303-763-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2022-08-03 |