Provider First Line Business Practice Location Address:
11600 W SECOND PL
Provider Second Line Business Practice Location Address:
TRAUMA DEPT.
Provider Business Practice Location Address City Name:
LAKEWOOD
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80228
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
314-251-6440
Provider Business Practice Location Address Fax Number:
314-251-4456
Provider Enumeration Date:
01/10/2008