| Locke Family Medicine, Llc | |
|
1450 East Valley Road Suite 101 Basalt CO 81621 | |
| (970) 279-4111 | |
| (970) 927-3915 |
| Full Name | Locke Family Medicine, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1450 East Valley Road, Basalt, Colorado |
| Authorized Official Name and Position | Kelly Locke (OWNER) |
| Authorized Official Contact | 9702794111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Locke Family Medicine, Llc 1450 East Valley Road Suite 101 Basalt CO 81621 Ph: (970) 279-4111 | Locke Family Medicine, Llc 1450 East Valley Road Suite 101 Basalt CO 81621 Ph: (970) 279-4111 |
| NPI Number | 1598850166 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 07/24/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598850166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 38023 (Colorado) | Primary |
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