| Boulder Integrative Medicine | |
|
1850 Bassett St 404 Denver CO 80202-1048 | |
| (720) 273-9598 | |
| (303) 974-1122 |
| Full Name | Boulder Integrative Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 1850 Bassett St, Denver, Colorado |
| Authorized Official Name and Position | Gayle Frankie Bereskin (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7202739598 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boulder Integrative Medicine 1850 Bassett St 404 Denver CO 80202-1048 Ph: (720) 273-9598 | Boulder Integrative Medicine 1850 Bassett St 404 Denver CO 80202-1048 Ph: (720) 273-9598 |
| NPI Number | 1881793891 |
|---|---|
| Provider Enumeration Date | 09/22/2006 |
| Last Update Date | 11/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881793891 | NPI | - | NPPES |
| 01336551 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 33655 (Colorado) | Primary |
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