Western Infectious Disease Infusion Center, Inc. | |
3303 W 144th Ave Suite 103 Broomfield CO 80023-9464 | |
(303) 425-9245 | |
(303) 425-1378 |
Full Name | Western Infectious Disease Infusion Center, Inc. |
---|---|
Speciality | Internal Medicine - Infectious Disease |
Location | 3303 W 144th Ave, Broomfield, Colorado |
Authorized Official Name and Position | Jeffrey A. Desjardin (PHYSICIAN/PRESIDENT) |
Authorized Official Contact | 3034259245 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Western Infectious Disease Infusion Center, Inc. Po Box 1449 Wheat Ridge CO 80034-1449 Ph: (303) 425-9245 | Western Infectious Disease Infusion Center, Inc. 3303 W 144th Ave Suite 103 Broomfield CO 80023-9464 Ph: (303) 425-9245 |
NPI Number | 1255733374 |
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Provider Enumeration Date | 09/19/2014 |
Last Update Date | 09/19/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255733374 | NPI | - | NPPES |
C377608 | Other | MEDICARE GROUP NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
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