| Boulder Medical Center, P.c. | |
|
4745 Arapahoe Ave Ste 200 Boulder CO 80303-1082 | |
| (303) 938-4700 | |
| Not Available |
| Full Name | Boulder Medical Center, P.c. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 4745 Arapahoe Ave Ste 200, Boulder, Colorado |
| Authorized Official Name and Position | Casandra Richards (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 3034403076 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boulder Medical Center, P.c. 2750 Broadway St Boulder CO 80304-3573 Ph: (303) 440-3000 | Boulder Medical Center, P.c. 4745 Arapahoe Ave Ste 200 Boulder CO 80303-1082 Ph: (303) 938-4700 |
| NPI Number | 1174156939 |
|---|---|
| Provider Enumeration Date | 02/19/2020 |
| Last Update Date | 10/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174156939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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