| Boulder Ekg | |
|
3464 S Willow St Denver CO 80231-4531 | |
| (303) 755-2900 | |
| (303) 755-0404 |
| Full Name | Boulder Ekg |
|---|---|
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 3464 S Willow St, Denver, Colorado |
| Authorized Official Name and Position | Eric Zacharias (MANAGING PARTNER) |
| Authorized Official Contact | 3034403083 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boulder Ekg 1100 Balsam Ave Boulder CO 80304-3404 Ph: (303) 440-3083 | Boulder Ekg 3464 S Willow St Denver CO 80231-4531 Ph: (303) 755-2900 |
| NPI Number | 1174581433 |
|---|---|
| Provider Enumeration Date | 05/03/2006 |
| Last Update Date | 10/29/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174581433 | NPI | - | NPPES |
| 04014072 | Medicaid | CO | |
| BOR7208 | Other | CO | BLUE SHIELD |
| CD4754 | Other | CO | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | (* (Not Available)) | Primary |
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