Community Medical Assoc Of Bch | |
2101 Ken Pratt Blvd Ste 104g Longmont CO 80501-6568 | |
(303) 415-4246 | |
(303) 415-8407 |
Full Name | Community Medical Assoc Of Bch |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 2101 Ken Pratt Blvd Ste 104g, Longmont, Colorado |
Authorized Official Name and Position | William A Munson (VP, CFP) |
Authorized Official Contact | 3034857433 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Community Medical Assoc Of Bch Po Box 9049 Boulder CO 80301-9049 Ph: (303) 415-4101 | Community Medical Assoc Of Bch 2101 Ken Pratt Blvd Ste 104g Longmont CO 80501-6568 Ph: (303) 415-4246 |
NPI Number | 1073393807 |
---|---|
Provider Enumeration Date | 09/29/2023 |
Last Update Date | 01/08/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073393807 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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