OrganizationActive
Colorado Provider Network LLC
NPI 1649851155 · Adult Medicine Physician · Lakewood, CO
Provider details
- NPI number
- 1649851155
- Entity type
- Organization
- Primary specialty
- Adult Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Marquez, Ceo(720) 320-3218
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1435 Garrison St Ste 110
Lakewood, CO 80215-4748
Phone: (720) 241-3765
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 12375
Denver, CO 80212-0375
Registry dates
- Enumerated
- 2021-04-16
- Last updated
- 2023-06-23
- Certified
- 2023-06-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.