Unknown Individual – Clinic/Center, NPI 1992362958
Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
17211 S GOLDEN RD UNIT A110
GOLDEN, CO 804016026
Phone: (303) 901-8169
Type: Location
Oberon Road, Arvada, Jefferson County, Colorado, 80002, United States
ARVADA, CO 800042969
Phone: (303) 901-8169
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 80401)
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