NPI | 1942856745 |
---|---|
Doing Business As | COMMUNITY MEDICAL ASSOC OF BCH |
Other Name | SPRUCE STREET INTERNAL MEDICINE |
Entity Type | Organization |
Authorized Contact | WILLIAM A MUNSON VP, CFO 303-415-7433 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2019-08-16 |
Last Update Date | 2022-07-05 |