| NPI | 1457465767 |
|---|---|
| Doing Business As | BOULDER MEDICAL OFFICE |
| Entity Type | Organization |
| Authorized Contact | ANNE E MCDOW VP Health Plan Administration 303-344-7655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2020-08-22 |