| Frontier Internal Medicine | |
|
2101 Ken Pratt Blvd Ste 104a Longmont CO 80501-6568 | |
| (303) 415-4155 | |
| (303) 776-3109 |
| Full Name | Frontier Internal Medicine |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2101 Ken Pratt Blvd Ste 104a, Longmont, 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 |
|---|---|
| Frontier Internal Medicine Po Box 9049 Boulder CO 80301-9049 Ph: (303) 415-4155 | Frontier Internal Medicine 2101 Ken Pratt Blvd Ste 104a Longmont CO 80501-6568 Ph: (303) 415-4155 |
| NPI Number | 1083260715 |
|---|---|
| Provider Enumeration Date | 08/19/2019 |
| Last Update Date | 05/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083260715 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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