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2880 Folsom St Ste 104 Boulder CO 80304-3769 | |
(720) 536-0706 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 2880 Folsom St Ste 104, Boulder, Colorado |
Authorized Official Name and Position | Jill Johnson Patton (DIRECTOR OF RISK MANAGEMENT) |
Authorized Official Contact | 7049365546 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4651 Charlotte Park Dr Ste 300 Charlotte NC 28217-1916 Ph: () - | 2880 Folsom St Ste 104 Boulder CO 80304-3769 Ph: (720) 536-0706 |
NPI Number | 1548634165 |
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Provider Enumeration Date | 11/19/2015 |
Last Update Date | 08/11/2022 |
Identifier | Type | State | Issuer |
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1548634165 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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