Rocky Mountain Family Practice | |
205 S Main St Ste B Longmont CO 80501-1714 | |
(303) 772-6244 | |
(303) 702-1623 |
Full Name | Rocky Mountain Family Practice |
---|---|
Speciality | Family Medicine |
Location | 205 S Main St Ste B, Longmont, Colorado |
Authorized Official Name and Position | James M Fretwell (OWNER/PRESIDENT) |
Authorized Official Contact | 3037726244 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Rocky Mountain Family Practice 205 S Main St Suite B Longmont CO 80501-1716 Ph: (303) 772-6244 | Rocky Mountain Family Practice 205 S Main St Ste B Longmont CO 80501-1714 Ph: (303) 772-6244 |
NPI Number | 1184633364 |
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Provider Enumeration Date | 08/05/2006 |
Last Update Date | 04/27/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184633364 | NPI | - | NPPES |
83350870 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Colorado) | Primary |
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