| Dakota Ridge Family Medicine, Pc | |
|
2995 Baseline Rd Suite 210 Boulder CO 80303-2318 | |
| (303) 443-2544 | |
| (303) 443-6476 |
| Full Name | Dakota Ridge Family Medicine, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 2995 Baseline Rd, Boulder, Colorado |
| Authorized Official Name and Position | Vickie E Mccay (OFFICE MANAGER) |
| Authorized Official Contact | 3034432544 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dakota Ridge Family Medicine, Pc 2995 Baseline Rd Suite 210 Boulder CO 80303-2318 Ph: (303) 443-2544 | Dakota Ridge Family Medicine, Pc 2995 Baseline Rd Suite 210 Boulder CO 80303-2318 Ph: (303) 443-2544 |
| NPI Number | 1720043888 |
|---|---|
| Provider Enumeration Date | 04/19/2006 |
| Last Update Date | 10/25/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720043888 | NPI | - | NPPES |
| 83482270 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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