NPI | 1922655422 |
---|---|
Other Name | BOULDER HEART LAFAYETTE |
Doing Business As | COMMUNITY MEDICAL ASSOC OF B.C.H. |
Entity Type | Organization |
Authorized Contact | WILLIAM A MUNSON VP,CFO 303-415-7433 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
Enumeration Date | 2019-08-20 |
Last Update Date | 2022-07-05 |