| NPI | 1801662135 |
|---|---|
| Doing Business As | EDWARDS MEDICAL PROVIDER GROUP BOULDER |
| Entity Type | Organization |
| Authorized Contact | ASHLEY BLAIR ELDER Revenue Cycle Administrator 737-247-1223 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2023-11-28 |
| Last Update Date | 2024-01-26 |