Organization · Type 2 NPI

Denver Recovery Group LLC

Addiction Medicine (Family Medicine) Physician · Boulder, CO

NPI number 1912554668 Active

Practice location

5330 Manhattan Cir Ste H
Boulder, CO 80303-4240

Specialties and licenses

Taxonomy	Code	License
Addiction Medicine (Family Medicine) Physician Primary	207QA0401X	None listed

Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.

2 other providers at this address

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Rocky Mountain Clinics LLCAddiction Medicine (Family Medicine) Physician Boulder, CO NPI 1922724707

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NPI record

NPI: 1912554668
Entity type: Organization (Type 2)
Issued: Aug 19, 2019
Last updated: Apr 21, 2020
Status: Active
Subpart: Yes of Denver Recovery Group LLC

Other names

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Denver Recovery Group - West · other name
Denver Recovery Group - West · other name

Authorized official

Karla Chavez
Billing Manager
(575) 993-5225

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1912554668

Denver Recovery Group LLC's National Provider Identifier is 1912554668, issued on Aug 19, 2019. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Boulder, CO. The record was last updated on Apr 21, 2020.