| Western Infectious Disease Consultants, P.c. | |
|
2030 Mountain View Ave Ste 540 Longmont CO 80501-3183 | |
| (303) 425-9245 | |
| (720) 630-8591 |
| Full Name | Western Infectious Disease Consultants, P.c. |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 2030 Mountain View Ave Ste 540, Longmont, Colorado |
| Authorized Official Name and Position | Ruth M Smith (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 3034259245 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Infectious Disease Consultants, P.c. Po Box 1449 Wheat Ridge CO 80034-1449 Ph: (303) 425-9245 | Western Infectious Disease Consultants, P.c. 2030 Mountain View Ave Ste 540 Longmont CO 80501-3183 Ph: (303) 425-9245 |
| NPI Number | 1043720600 |
|---|---|
| Provider Enumeration Date | 10/09/2017 |
| Last Update Date | 10/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043720600 | NPI | - | NPPES |
| 04007191 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
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