| Breckenridge Medical Clinic, Llc | |
|
555 South Park Avenue Plaza 2 Breckenridge CO 80424 | |
| (970) 453-1010 | |
| Not Available |
| Full Name | Breckenridge Medical Clinic, Llc |
|---|---|
| Speciality | Emergency Medicine |
| Location | 555 South Park Avenue, Breckenridge, Colorado |
| Authorized Official Name and Position | Paul Chodowski (PRESIDENT/CEO) |
| Authorized Official Contact | 9706682852 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Breckenridge Medical Clinic, Llc Department 1965 Denver CO 80291-1965 Ph: (303) 486-5500 | Breckenridge Medical Clinic, Llc 555 South Park Avenue Plaza 2 Breckenridge CO 80424 Ph: (970) 453-1010 |
| NPI Number | 1376682740 |
|---|---|
| Provider Enumeration Date | 02/05/2007 |
| Last Update Date | 10/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376682740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207P00000X | Emergency Medicine | (* (Not Available)) | Primary |
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