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1200 W South Boulder Rd Ste 103 Lafayette CO 80026-2833 | |
(303) 954-9864 | |
(303) 963-5782 |
Full Name | |
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Speciality | Clinic/center - Health Service |
Location | 1200 W South Boulder Rd Ste 103, Lafayette, Colorado |
Authorized Official Name and Position | David Douglas Robinson (OWNER) |
Authorized Official Contact | 3039549864 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1200 W South Boulder Rd Ste 103 Lafayette CO 80026-2833 Ph: (303) 954-9864 | 1200 W South Boulder Rd Ste 103 Lafayette CO 80026-2833 Ph: (303) 954-9864 |
NPI Number | 1215385455 |
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Provider Enumeration Date | 05/27/2016 |
Last Update Date | 05/27/2016 |
Identifier | Type | State | Issuer |
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1215385455 | NPI | - | NPPES |
Banner Greeley Specialists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Exempla Cir, Suite 200, Lafayette, CO 80026 Phone: 970-378-4433 | |