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4990 Pearl East Cir Ste 100b Boulder CO 80301-2530 | |
(303) 415-5300 | |
(303) 415-4769 |
Full Name | |
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Speciality | Clinic/Center |
Location | 4990 Pearl East Cir Ste 100b, Boulder, Colorado |
Authorized Official Name and Position | William A Munson (VICE PRESIDENT & CHIEF FINANCIAL OF) |
Authorized Official Contact | 3034157433 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 9049 Boulder CO 80301-9049 Ph: (303) 415-5300 | 4990 Pearl East Cir Ste 100b Boulder CO 80301-2530 Ph: (303) 415-5300 |
NPI Number | 1609822030 |
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Provider Enumeration Date | 05/26/2006 |
Last Update Date | 07/05/2022 |
Medicare PECOS PAC ID | 6800707233 |
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Medicare Enrollment ID | O20240325003352 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609822030 | NPI | - | NPPES |
Provider Name | Eric Scholten |
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Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1003110313 PECOS PAC ID: 9436308350 Enrollment ID: I20190516000540 |
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