Provider First Line Business Practice Location Address:
11600 W. 2ND PLACE
Provider Second Line Business Practice Location Address:
ST. ANTHONY HOSPITAL
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:
720-321-0000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/24/2008