Physical Medicine of Colorado, Pllc

NPI #1144598160 in Boulder, Colorado

Provider Information

NPI Number: 1144598160
Entity Type: Organization
Organization Name: Physical Medicine of Colorado, Pllc
Primary Specialty: General Practice
Enumeration Date: Dec 5, 2011
Last Updated: Dec 5, 2011

Practice Location

Address: 3083 WALNUT ST
City: Boulder
State: Colorado
ZIP Code: 80301-2509
Phone: (303) 440-0500

Authorized Official

Name: DR. DOUGLAS J TERRY, D,O.
Title: CLINIC MANAGER
Phone: (303) 912-3596

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X
General Practice	208D00000X	Primary

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