| Cmg Primary Care Southwest. Longmont | |
|
2101 Ken Pratt Blvd Ste 200 Longmont CO 80501-6568 | |
| (303) 649-6350 | |
| (303) 649-3501 |
| Full Name | Cmg Primary Care Southwest. Longmont |
|---|---|
| Speciality | Family Medicine |
| Location | 2101 Ken Pratt Blvd Ste 200, Longmont, Colorado |
| Authorized Official Name and Position | Angela Jo Skinner (ADMINISTRATOR OMA) |
| Authorized Official Contact | 7206677283 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cmg Primary Care Southwest. Longmont Po Box 800022 Kansas City MO 64180-0022 Ph: (800) 953-0104 | Cmg Primary Care Southwest. Longmont 2101 Ken Pratt Blvd Ste 200 Longmont CO 80501-6568 Ph: (303) 649-6350 |
| NPI Number | 1780047902 |
|---|---|
| Provider Enumeration Date | 04/04/2016 |
| Last Update Date | 06/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780047902 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
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