Organization · Type 2 NPI

Our Lady of Grace Medical Clinic PC

Family Medicine Physician · Northglenn, CO

NPI number 1356474647 Active

Practice location

992 W 104th Ave
Northglenn, CO 80234-3801

Fax (303) 531-5185

Mailing address

PO Box 350968
Westminster, CO 80035-0968

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1356474647

Our Lady of Grace Medical Clinic PC's National Provider Identifier is 1356474647, issued on Mar 14, 2007. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Northglenn, CO. The record was last updated on Mar 4, 2008.