| |
2345 Bent Way Longmont CO 80503-7614 | |
(303) 338-4545 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 2345 Bent Way, Longmont, Colorado |
Authorized Official Name and Position | Michael S Ramseier (REGIONAL PRESIDENT) |
Authorized Official Contact | 3033447256 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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10350 E Dakota Ave Denver CO 80247-1314 Ph: () - | 2345 Bent Way Longmont CO 80503-7614 Ph: (303) 338-4545 |
NPI Number | 1255445417 |
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Provider Enumeration Date | 08/17/2006 |
Last Update Date | 04/11/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255445417 | NPI | - | NPPES |
04710083 | Medicaid | CO | |
04510301 | Medicaid | CO | |
04020087 | Medicaid | CO | |
30478251 | Medicaid | CO |
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