| Immunoe And Horizon Primary Care | |
|
1551 Professional Ln Unit 170 Longmont CO 80501-6971 | |
| (303) 776-0868 | |
| Not Available |
| Full Name | Immunoe And Horizon Primary Care |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1551 Professional Ln Unit 170, Longmont, Colorado |
| Authorized Official Name and Position | Isaac Melamed (OWNER) |
| Authorized Official Contact | 3037739000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Immunoe And Horizon Primary Care 6801 S Yosemite St Centennial CO 80112-1406 Ph: (303) 224-4703 | Immunoe And Horizon Primary Care 1551 Professional Ln Unit 170 Longmont CO 80501-6971 Ph: (303) 776-0868 |
| NPI Number | 1013473321 |
|---|---|
| Provider Enumeration Date | 02/12/2019 |
| Last Update Date | 10/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013473321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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