| Jla Medical Services | |
|
255 Canyon Blvd Suite 300 Boulder CO 80302-4979 | |
| (303) 449-7541 | |
| Not Available |
| Full Name | Jla Medical Services |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 255 Canyon Blvd, Boulder, Colorado |
| Authorized Official Name and Position | Laine Gerritsen (BILLING AGENT) |
| Authorized Official Contact | 3034992217 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jla Medical Services 1062 Love Ct Boulder CO 80303-2975 Ph: (303) 499-2217 | Jla Medical Services 255 Canyon Blvd Suite 300 Boulder CO 80302-4979 Ph: (303) 449-7541 |
| NPI Number | 1023230257 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 01/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023230257 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 18076 (Colorado) | Primary |
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