| Larry Eckstein, M.d., P.c. | |
|
2760 29th St Suite 2-d Boulder CO 80301-1214 | |
| (303) 546-9158 | |
| (303) 546-9107 |
| Full Name | Larry Eckstein, M.d., P.c. |
|---|---|
| Speciality | General Practice |
| Location | 2760 29th St, Boulder, Colorado |
| Authorized Official Name and Position | Larry Eckstein (PRESIDENT) |
| Authorized Official Contact | 3039172612 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Larry Eckstein, M.d., P.c. Po Box 21150 Boulder CO 80308-4150 Ph: (303) 546-9158 | Larry Eckstein, M.d., P.c. 2760 29th St Suite 2-d Boulder CO 80301-1214 Ph: (303) 546-9158 |
| NPI Number | 1932340494 |
|---|---|
| Provider Enumeration Date | 03/13/2009 |
| Last Update Date | 03/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932340494 | NPI | - | NPPES |
| 01330422 | Medicaid | CO | |
| 33042 | Other | CO | MEDICAL LICENSE NUMBER |
| A44118 | Other | CO | UPIN # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 33042 (Colorado) | Primary |
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