| |
5495 Arapahoe Ave Ste 101-a Boulder CO 80303-1200 | |
(303) 544-3630 | |
(303) 544-3631 |
Full Name | |
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Speciality | Clinic/center |
Location | 5495 Arapahoe Ave Ste 101-a, Boulder, Colorado |
Authorized Official Name and Position | Julie Nickell (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 7208480000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2695 Rocky Mountain Ave Ste 150 Loveland CO 80538-9071 Ph: () - | 5495 Arapahoe Ave Ste 101-a Boulder CO 80303-1200 Ph: (303) 544-3630 |
NPI Number | 1356945786 |
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Provider Enumeration Date | 11/25/2020 |
Last Update Date | 05/24/2024 |
Identifier | Type | State | Issuer |
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1356945786 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
282N00000X | General Acute Care Hospital | (* (Not Available)) | Secondary |
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