| Phnx LLC | |
|
1810 30th St Ste B Boulder CO 80301-1025 | |
| (303) 442-7473 | |
| Not Available |
| Full Name | Phnx LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 1810 30th St Ste B, Boulder, Colorado |
| Authorized Official Name and Position | Alicia Moreno (CEO) |
| Authorized Official Contact | 8327258685 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phnx LLC 1810 30th St Ste B Boulder CO 80301-1025 Ph: (303) 442-7473 | Phnx LLC 1810 30th St Ste B Boulder CO 80301-1025 Ph: (303) 442-7473 |
| NPI Number | 1427995455 |
|---|---|
| Provider Enumeration Date | 04/29/2026 |
| Last Update Date | 04/29/2026 |
| Certification Date | 04/29/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427995455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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