| NPI | 1447318225 |
|---|---|
| Doing Business As | BOULDER VALLEY FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | STANLEY K JACK Owner Physician 303-440-8243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CO 42877) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2024-01-16 |