| Amaze Professional Medical Services Llc | |
|
8444 Summerlin Dr Longmont CO 80503-3906 | |
| (303) 619-9252 | |
| Not Available |
| Full Name | Amaze Professional Medical Services Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 8444 Summerlin Dr, Longmont, Colorado |
| Authorized Official Name and Position | Aaron Starr (CHIEF LEGAL OFFICER) |
| Authorized Official Contact | 3036847418 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amaze Professional Medical Services Llc Po Box 329 Longmont CO 80502-0329 Ph: () - | Amaze Professional Medical Services Llc 8444 Summerlin Dr Longmont CO 80503-3906 Ph: (303) 619-9252 |
| NPI Number | 1225674625 |
|---|---|
| Provider Enumeration Date | 11/20/2019 |
| Last Update Date | 06/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225674625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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