| Side by Side Nutrition | |
|
6610 Gunpark Dr Ste 202 Boulder CO 80301-3579 | |
| (708) 717-7394 | |
| (720) 306-3508 |
| Full Name | Side by Side Nutrition |
|---|---|
| Speciality | Clinic/center |
| Location | 6610 Gunpark Dr Ste 202, Boulder, Colorado |
| Authorized Official Name and Position | Jamie Magdic (CEO) |
| Authorized Official Contact | 7087177394 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Side by Side Nutrition 8120 Sheridan Blvd Ste 315c Arvada CO 80003-6160 Ph: (708) 717-7394 | Side by Side Nutrition 6610 Gunpark Dr Ste 202 Boulder CO 80301-3579 Ph: (708) 717-7394 |
| NPI Number | 1780391581 |
|---|---|
| Provider Enumeration Date | 11/01/2022 |
| Last Update Date | 11/01/2022 |
| Certification Date | 11/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780391581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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