| NPI | 1780047902 |
|---|---|
| Other Name | CMG PRIMARY CARE SOUTHWEST. LONGMONT |
| Doing Business As | PRLS PC SW LONGMONT |
| Entity Type | Organization |
| Authorized Contact | ANGELA JO SKINNER Administrator Oma 720-667-7283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2024-06-24 |