| Phyllis Hamar, Lac | |
|
710 11th Ave Ste 106 Greeley CO 80631-3200 | |
| (970) 539-0324 | |
| Not Available |
| Full Name | Phyllis Hamar, Lac |
|---|---|
| Speciality | Clinic/center |
| Location | 710 11th Ave Ste 106, Greeley, Colorado |
| Authorized Official Name and Position | Phyllis Hamar (OWNER) |
| Authorized Official Contact | 9705390324 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phyllis Hamar, Lac Po Box 121 Severance CO 80546-0121 Ph: (970) 539-0324 | Phyllis Hamar, Lac 710 11th Ave Ste 106 Greeley CO 80631-3200 Ph: (970) 539-0324 |
| NPI Number | 1487987160 |
|---|---|
| Provider Enumeration Date | 09/11/2009 |
| Last Update Date | 09/11/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487987160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 1431 (Colorado) | Primary |
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