| Spruce Street Internal Medicine | |
|
2575 Spruce St Boulder CO 80302-3806 | |
| (303) 415-3875 | |
| (303) 449-3112 |
| Full Name | Spruce Street Internal Medicine |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2575 Spruce St, Boulder, Colorado |
| Authorized Official Name and Position | William A Munson (VP, CFO) |
| Authorized Official Contact | 3034157433 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spruce Street Internal Medicine Po Box 9049 Boulder CO 80301-9049 Ph: (303) 415-3875 | Spruce Street Internal Medicine 2575 Spruce St Boulder CO 80302-3806 Ph: (303) 415-3875 |
| NPI Number | 1942856745 |
|---|---|
| Provider Enumeration Date | 08/16/2019 |
| Last Update Date | 07/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942856745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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