| Sunshine Wholistic Services Llc | |
|
805 S Broadway St Suite 103 Boulder CO 80305-5971 | |
| (303) 449-3100 | |
| Not Available |
| Full Name | Sunshine Wholistic Services Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 805 S Broadway St, Boulder, Colorado |
| Authorized Official Name and Position | Paul Anthony Berger (OWNER) |
| Authorized Official Contact | 3034493100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunshine Wholistic Services Llc 805 S Broadway St Suite 103 Boulder CO 80305-5971 Ph: (303) 449-3100 | Sunshine Wholistic Services Llc 805 S Broadway St Suite 103 Boulder CO 80305-5971 Ph: (303) 449-3100 |
| NPI Number | 1639353188 |
|---|---|
| Provider Enumeration Date | 12/19/2007 |
| Last Update Date | 01/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639353188 | NPI | - | NPPES |
| M0728 | Other | MAIN MEDICARE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35393 (Colorado) | Primary |
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