Unknown Individual – Family Medicine Physician, NPI 1407846009
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
6816, Otis Street, Arvada, Jefferson County, Colorado, 80003, United States
ARVADA, CO 800034067
Phone: (303) 420-7724
Fax: (303) 420-9349
Type: Location
1978, South Garrison Street, Lakewood, Jefferson County, Colorado, 80227, United States
101
LAKEWOOD, CO 802272282
Phone: (303) 988-1559
Fax: (303) 988-1603
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 80003)
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