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2900 Peak Ave Longmont CO 80504-6236 | |
(720) 652-4468 | |
(720) 718-8999 |
Full Name | |
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Speciality | General Practice |
Location | 2900 Peak Ave, Longmont, Colorado |
Authorized Official Name and Position | Jana Conroy (DIRECTOR OF CREDENTIALING) |
Authorized Official Contact | 7206524468 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2695 Rocky Mountain Ave Ste 150 Loveland CO 80538-9071 Ph: (720) 652-4468 | 2900 Peak Ave Longmont CO 80504-6236 Ph: (720) 652-4468 |
NPI Number | 1154937282 |
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Provider Enumeration Date | 09/23/2020 |
Last Update Date | 06/11/2024 |
Identifier | Type | State | Issuer |
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1154937282 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
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