| Boulder Medical Center, P.c. | |
|
80 Health Park Dr Ste 100 Louisville CO 80027-4644 | |
| (303) 673-0448 | |
| Not Available |
| Full Name | Boulder Medical Center, P.c. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 80 Health Park Dr Ste 100, Louisville, Colorado |
| Authorized Official Name and Position | Casandra Espinoza (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. 80 Health Park Dr Ste 100 Louisville CO 80027-4644 Ph: (303) 673-0448 |
| NPI Number | 1699308452 |
|---|---|
| Provider Enumeration Date | 02/19/2020 |
| Last Update Date | 02/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699308452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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