PREMIERCARE

BASALT, CO
NPI1902002116
Entity TypeOrganization
Authorized ContactTIMOTHY RICHARD KRUSE
Owner
970-927-8563
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2007-06-25
Last Update Date2008-08-04
Business Address
PREMIERCARE
227 MIDLAND AVE STE 15B
BASALT, CO 81621-8119
Phone number: 970-927-8563
Mailing Address
PREMIERCARE
227 MIDLAND AVE STE 15B
BASALT, CO 81621-8119
Phone number: 970-927-8563
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