| Sopris Medical Practice, P.c. | |
|
1450 E Valley Rd Suite 101 Basalt CO 81621-8304 | |
| (979) 927-1444 | |
| (970) 927-1450 |
| Full Name | Sopris Medical Practice, P.c. |
|---|---|
| Speciality | Clinic/center |
| Location | 1450 E Valley Rd, Basalt, Colorado |
| Authorized Official Name and Position | Bruce Keefe Bowen (OWNER) |
| Authorized Official Contact | 9709271444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sopris Medical Practice, P.c. 1450 E Valley Rd Suite 101 Basalt CO 81621-8304 Ph: (979) 927-1444 | Sopris Medical Practice, P.c. 1450 E Valley Rd Suite 101 Basalt CO 81621-8304 Ph: (979) 927-1444 |
| NPI Number | 1386879831 |
|---|---|
| Provider Enumeration Date | 05/27/2009 |
| Last Update Date | 05/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386879831 | NPI | - | NPPES |
| 37578 | Other | CO | COLORADO LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 37578 (Colorado) | Primary |
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