| Gf Institute, Pllc | |
|
4801 Riverbend Rd Ste 100 Boulder CO 80301-2626 | |
| (303) 440-2456 | |
| (303) 440-2427 |
| Full Name | Gf Institute, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4801 Riverbend Rd Ste 100, Boulder, Colorado |
| Authorized Official Name and Position | Daniel Fisher (PRESIDENT) |
| Authorized Official Contact | 3034402456 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gf Institute, Pllc 4801 Riverbend Rd Ste 100 Boulder CO 80301-2626 Ph: (303) 440-2456 | Gf Institute, Pllc 4801 Riverbend Rd Ste 100 Boulder CO 80301-2626 Ph: (303) 440-2456 |
| NPI Number | 1598061699 |
|---|---|
| Provider Enumeration Date | 02/07/2011 |
| Last Update Date | 11/04/2019 |
| Medicare PECOS PAC ID | 7719144047 |
|---|---|
| Medicare Enrollment ID | O20120130000088 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598061699 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 35433 (Colorado) | Primary |
| Provider Name | Daniel R Fisher |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154420016 PECOS PAC ID: 6800829185 Enrollment ID: I20050916000358 |
| Provider Name | Christopher Reyburn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770624017 PECOS PAC ID: 6901880897 Enrollment ID: I20111014000037 |
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