Your Top Life Pllc | |
4854 Franklin Dr Boulder CO 80301-6201 | |
(972) 816-1410 | |
Not Available |
Full Name | Your Top Life Pllc |
---|---|
Speciality | Clinic/center |
Location | 4854 Franklin Dr, Boulder, Colorado |
Authorized Official Name and Position | Natalie J Engelbart (OWNER) |
Authorized Official Contact | 9728161410 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Your Top Life Pllc 4854 Franklin Dr Boulder CO 80301-6201 Ph: (972) 816-1410 | Your Top Life Pllc 4854 Franklin Dr Boulder CO 80301-6201 Ph: (972) 816-1410 |
NPI Number | 1306143920 |
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Provider Enumeration Date | 02/16/2011 |
Last Update Date | 05/22/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306143920 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 7839 (Texas) | Secondary |
261Q00000X | Clinic/center | 5409 (Colorado) | Primary |
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