Amaze Professional Medical Services Pc | |
8444 Summerlin Dr Longmont CO 80503-3906 | |
(303) 619-9252 | |
Not Available |
Full Name | Amaze Professional Medical Services Pc |
---|---|
Speciality | Family Medicine |
Location | 8444 Summerlin Dr, Longmont, Colorado |
Authorized Official Name and Position | Aaron Starr (CHIEF LEGAL OFFICER) |
Authorized Official Contact | 3036847418 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Amaze Professional Medical Services Pc Po Box 329 Longmont CO 80502-0329 Ph: () - | Amaze Professional Medical Services Pc 8444 Summerlin Dr Longmont CO 80503-3906 Ph: (303) 619-9252 |
NPI Number | 1225674625 |
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Provider Enumeration Date | 11/20/2019 |
Last Update Date | 07/26/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225674625 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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