Boulder Center For Age Management Medicine Pc | |
1650 38th St Ste 207w Boulder CO 80301-2637 | |
(720) 381-3318 | |
(720) 496-1780 |
Full Name | Boulder Center For Age Management Medicine Pc |
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Speciality | General Practice |
Location | 1650 38th St Ste 207w, Boulder, Colorado |
Authorized Official Name and Position | Todd Dorfman (FOUNDER AND CEO) |
Authorized Official Contact | 7203813318 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Boulder Center For Age Management Medicine Pc 1650 38th St Ste 207w Boulder CO 80301-2637 Ph: (720) 381-3318 | Boulder Center For Age Management Medicine Pc 1650 38th St Ste 207w Boulder CO 80301-2637 Ph: (720) 381-3318 |
NPI Number | 1023701141 |
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Provider Enumeration Date | 06/02/2023 |
Last Update Date | 06/02/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023701141 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
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