| Ingredients For Life Llc | |
|
7490 Clubhouse Rd Ste 105 Boulder CO 80301-3720 | |
| (720) 582-1212 | |
| (720) 405-4268 |
| Full Name | Ingredients For Life Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7490 Clubhouse Rd Ste 105, Boulder, Colorado |
| Authorized Official Name and Position | Kristina Anton-schnell (OWNER) |
| Authorized Official Contact | 7205821212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ingredients For Life Llc 4745 Jameston St Boulder CO 80301-4222 Ph: (720) 582-1212 | Ingredients For Life Llc 7490 Clubhouse Rd Ste 105 Boulder CO 80301-3720 Ph: (720) 582-1212 |
| NPI Number | 1619683000 |
|---|---|
| Provider Enumeration Date | 01/30/2023 |
| Last Update Date | 01/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619683000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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