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308 W Baseline Rd Lafayette CO 80026-1719 | |
(303) 543-9504 | |
(303) 543-9729 |
Full Name | |
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Speciality | Family Medicine |
Location | 308 W Baseline Rd, Lafayette, Colorado |
Authorized Official Name and Position | Heather Leanne Fliege (PRESIDENT) |
Authorized Official Contact | 3035439504 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 327 Broomfield CO 80038-0327 Ph: (303) 543-9504 | 308 W Baseline Rd Lafayette CO 80026-1719 Ph: (303) 543-9504 |
NPI Number | 1093911182 |
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Provider Enumeration Date | 06/25/2007 |
Last Update Date | 11/20/2007 |
Medicare PECOS PAC ID | 2365533668 |
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Medicare Enrollment ID | O20070731000646 |
Identifier | Type | State | Issuer |
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1093911182 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 34786 (Colorado) | Primary |
Provider Name | Heather L Fliege |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1457454472 PECOS PAC ID: 7719986876 Enrollment ID: I20061219000172 |
Banner Greeley Specialists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Exempla Cir, Suite 200, Lafayette, CO 80026 Phone: 970-378-4433 | |