| Strock Medical Group Llc | |
|
5277 Manhattan Cir Ste 220 Boulder CO 80303-8231 | |
| (303) 720-1845 | |
| (303) 479-4958 |
| Full Name | Strock Medical Group Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5277 Manhattan Cir Ste 220, Boulder, Colorado |
| Authorized Official Name and Position | Audrey Alana Strock (OWNER) |
| Authorized Official Contact | 3037201845 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Strock Medical Group Llc 1401 Wewatta St Unit 603 Denver CO 80202-1346 Ph: (303) 720-1845 | Strock Medical Group Llc 5277 Manhattan Cir Ste 220 Boulder CO 80303-8231 Ph: (303) 720-1845 |
| NPI Number | 1245906023 |
|---|---|
| Provider Enumeration Date | 08/20/2021 |
| Last Update Date | 08/20/2021 |
| Certification Date | 08/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245906023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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