Internal Aesthetic Medicine, LLC
Organization Active NPI Internal Medicine Physician · Franktown, CO
NPI 1588055255 · NPPES record last updated Feb 16, 2015
Key facts
- NPI
- 1588055255
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 0030907 (CO)
- Legal business name
- INTERNAL AESTHETIC MEDICINE, LLC
- Practice address
- 2400 S Russellville Rd
Franktown, CO 80116-8557 - Phone
- (303) 814-1854
- Fax
- (303) 778-0202
- NPI assigned
- Feb 16, 2015
- Organization subpart
- No
Authorized official
- Name
- Dr. Edward Carriere Jr., MD
- Title
- Owner
- Phone
- (303) 814-1854
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | 0030907 | CO | Yes |
Addresses
Primary practice location
2400 S Russellville Rd
Franktown, CO 80116-8557
Mailing address
2400 S Russellville Rd
Franktown, CO 80116-8557
Phone (303) 814-1854
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All providers in Franktown, CO · Internal Medicine Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 16, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.