Longmont United Professional Compensation | |
1950 W Mountain View Ave Longmont CO 80501-3129 | |
(303) 651-5111 | |
Not Available |
Full Name | Longmont United Professional Compensation |
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Speciality | General Practice |
Location | 1950 W Mountain View Ave, Longmont, Colorado |
Authorized Official Name and Position | Mitchell Carson (PRESIDENT/CEO) |
Authorized Official Contact | 3036515025 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Longmont United Professional Compensation 1950 W Mountain View Ave Longmont CO 80501-3129 Ph: () - | Longmont United Professional Compensation 1950 W Mountain View Ave Longmont CO 80501-3129 Ph: (303) 651-5111 |
NPI Number | 1598932279 |
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Provider Enumeration Date | 05/13/2008 |
Last Update Date | 04/17/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598932279 | NPI | - | NPPES |
04003158 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
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