Four Mile Creek Health

NPI #1225854425 in Boulder, Colorado

Provider Information

NPI Number
1225854425
Entity Type
Organization
Organization Name
Four Mile Creek Health
Primary Specialty
Family Medicine
Enumeration Date
Dec 3, 2024
Last Updated
Dec 3, 2024

Practice Location

Address
3434 47TH ST STE 225
ZIP Code
80301-1880
Phone
(703) 850-1533

Authorized Official

Name
RADFORD FAGAN
Title
VICE PRESIDENT
Phone
(720) 792-2852

Specialties & Taxonomy Codes

Specialty
Family Medicine

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