Provider Demographics
NPI:1346546447
Name:COMPREHENSIVE FAMILY MEDICAL CENTER P.C.
Entity Type:Organization
Organization Name:COMPREHENSIVE FAMILY MEDICAL CENTER P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:IAN
Authorized Official - Middle Name:R
Authorized Official - Last Name:LEVENSON
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:303-221-5400
Mailing Address - Street 1:8200 E BELLEVIEW AVE STE 300C
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111
Mailing Address - Country:US
Mailing Address - Phone:303-221-5400
Mailing Address - Fax:303-221-4465
Practice Address - Street 1:8200 E BELLEVIEW AVE STE 300C
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2806
Practice Address - Country:US
Practice Address - Phone:303-221-5400
Practice Address - Fax:303-221-4465
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-07
Last Update Date:2013-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO25657207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty