Provider First Line Business Practice Location Address:
777 BANNOCK
Provider Second Line Business Practice Location Address:
DENVER HEALTH MEDICAL CENTER, DEPT OF OB/GYN
Provider Business Practice Location Address City Name:
DENVER
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80204
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
404-509-3394
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/15/2008