Facts
- Status
- A
- Type
- Organization
- Enumeration date
- 2013-06-21
- Last updated
- 2025-06-27
Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 421 W 104TH AVE STE J
- City
- NORTHGLENN CO
- Postal code
- 802344139
- Phone
- 720-502-3060
Organization contact
- Name
- COLTON RITTER
- Title
- Analyst
- Phone
- 8005715202
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
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Nearby
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.