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 |