NPI 1114602596

Colorado Provider Network LLC

Organisation Adult Medicine Physician Lakewood, CO

Practice location

Address: 1435 Garrison St STE 110, Lakewood, CO 80215-4748
Phone: (720) 241-3765
Mailing address: PO Box 12375, Denver, CO 80212-0375

Authorised official

Name: John Edward Marquez
Title: Owner
Phone: (720) 241-3765

Registered specialties

Adult Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207QA0505X

Other Family Medicine providers in Colorado →

Registry record

NPI: 1114602596
Entity type: Organization
NPI issued: 21 Jun 2023
Record last updated: 21 Jun 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.