Provider Demographics
NPI:1992339790
Name:PREMIER FAMILY MEDICINE LLC
Entity type:Organization
Organization Name:PREMIER FAMILY MEDICINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MISBAH
Authorized Official - Middle Name:DARWEESH
Authorized Official - Last Name:ZMILY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:720-531-2370
Mailing Address - Street 1:2283 S MONACO PKWY STE 105
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-5845
Mailing Address - Country:US
Mailing Address - Phone:720-531-2370
Mailing Address - Fax:720-531-2370
Practice Address - Street 1:2283 S MONACO PKWY STE 105
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-5845
Practice Address - Country:US
Practice Address - Phone:720-531-2370
Practice Address - Fax:720-531-2370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-02
Last Update Date:2020-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center