Provider First Line Business Practice Location Address:
12401 E. 17TH AVENUE LEPRINO BUILDING
Provider Second Line Business Practice Location Address:
HOSPITAL MEDICINE GROUP 4TH FLOOR, MAILSTOP F-782
Provider Business Practice Location Address City Name:
AURORA
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80045
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
720-848-5982
Provider Business Practice Location Address Fax Number:
720-848-4293
Provider Enumeration Date:
07/23/2015