| Boulder Holistic Medical Center | |
|
805 S Broadway St Suite 103 Boulder CO 80305-5971 | |
| (303) 269-2560 | |
| (303) 494-1841 |
| Full Name | Boulder Holistic Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 805 S Broadway St, Boulder, Colorado |
| Authorized Official Name and Position | Angela Skinner (OMA ADMINISTRATOR) |
| Authorized Official Contact | 3036737175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boulder Holistic Medical Center Po Box 911244 Denver CO 80291-1244 Ph: (303) 643-1099 | Boulder Holistic Medical Center 805 S Broadway St Suite 103 Boulder CO 80305-5971 Ph: (303) 269-2560 |
| NPI Number | 1962726927 |
|---|---|
| Provider Enumeration Date | 03/19/2010 |
| Last Update Date | 04/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962726927 | NPI | - | NPPES |
| 98209574 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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