| NPI | 1528822194 |
|---|---|
| Doing Business As | BOULDER STATION MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHELL CLOWARD President 435-668-4929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2024-02-13 |
| Last Update Date | 2024-02-13 |