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1000 W South Boulder Rd Ste 214 Lafayette CO 80026-2089 | |
(303) 415-4325 | |
(303) 661-9496 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 1000 W South Boulder Rd Ste 214, Lafayette, Colorado |
Authorized Official Name and Position | William A Munson (VP. CFO) |
Authorized Official Contact | 3034157433 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 9049 Boulder CO 80301-9049 Ph: (303) 415-4325 | 1000 W South Boulder Rd Ste 214 Lafayette CO 80026-2089 Ph: (303) 415-4325 |
NPI Number | 1124674932 |
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Provider Enumeration Date | 08/16/2019 |
Last Update Date | 06/29/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124674932 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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 | |