| Colorado Integrative Medical Center | |
|
1815 Sunshine Ave Longmont CO 80504-2225 | |
| (303) 722-9000 | |
| Not Available |
| Full Name | Colorado Integrative Medical Center |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1815 Sunshine Ave, Longmont, Colorado |
| Authorized Official Name and Position | Mary Louise Louder (OWNER) |
| Authorized Official Contact | 3037229000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colorado Integrative Medical Center 2575 Park Ln Ste 101-b Lafayette CO 80026-3200 Ph: (303) 722-9000 | Colorado Integrative Medical Center 1815 Sunshine Ave Longmont CO 80504-2225 Ph: (303) 722-9000 |
| NPI Number | 1124474945 |
|---|---|
| Provider Enumeration Date | 05/11/2016 |
| Last Update Date | 08/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124474945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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