Provider Demographics
NPI:1972574648
Name:COMPLETE FAMILY CARE P.C.
Entity Type:Organization
Organization Name:COMPLETE FAMILY CARE P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:DOEHRING
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:303-450-7435
Mailing Address - Street 1:11310 HURON ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:NORTHGLENN
Mailing Address - State:CO
Mailing Address - Zip Code:80234-3046
Mailing Address - Country:US
Mailing Address - Phone:303-450-7435
Mailing Address - Fax:303-450-7463
Practice Address - Street 1:11310 HURON ST
Practice Address - Street 2:SUITE 100
Practice Address - City:NORTHGLENN
Practice Address - State:CO
Practice Address - Zip Code:80234-3046
Practice Address - Country:US
Practice Address - Phone:303-450-7435
Practice Address - Fax:303-450-7463
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-30
Last Update Date:2016-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO04013835Medicaid
CO04013835Medicaid
COCJ0808Medicare PIN