| Heather L. Fliege, M.d., P.c. | |
|
308 W Baseline Rd Lafayette CO 80026-1719 | |
| (303) 543-9504 | |
| (303) 543-9729 |
| Full Name | Heather L. Fliege, M.d., P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 308 W Baseline Rd, Lafayette, Colorado |
| Authorized Official Name and Position | Heather Leanne Fliege (PRESIDENT) |
| Authorized Official Contact | 3035439504 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heather L. Fliege, M.d., P.c. Po Box 327 Broomfield CO 80038-0327 Ph: (303) 543-9504 | Heather L. Fliege, M.d., P.c. 308 W Baseline Rd Lafayette CO 80026-1719 Ph: (303) 543-9504 |
| NPI Number | 1093911182 |
|---|---|
| Provider Enumeration Date | 06/25/2007 |
| Last Update Date | 11/20/2007 |
| Medicare PECOS PAC ID | 2365533668 |
|---|---|
| Medicare Enrollment ID | O20070731000646 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093911182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34786 (Colorado) | Primary |
| Provider Name | Heather L Fliege |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457454472 PECOS PAC ID: 7719986876 Enrollment ID: I20061219000172 |
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