| NPI | 1881793891 |
|---|---|
| Doing Business As | BOULDER INTEGRATIVE MEDICINE |
| Entity Type | Organization |
| Authorized Contact | GAYLE FRANKIE BERESKIN Medical Director 720-273-9598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 33655) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2011-11-15 |