NPI | 1790444669 |
---|---|
Doing Business As | BOULDER VALLEY FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | STANLEY JACK Owner Physician 303-440-8243 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
Enumeration Date | 2021-12-08 |
Last Update Date | 2024-03-02 |