Telemedicine Provider Services

NPI #1285124420 in Boulder, Colorado

Provider Information

NPI Number: 1285124420
Entity Type: Organization
Organization Name: Telemedicine Provider Services
Primary Specialty: Emergency Medicine
Enumeration Date: May 14, 2018
Last Updated: Feb 8, 2022

Practice Location

Address: 1919 14TH ST STE 700
City: Boulder
State: Colorado
ZIP Code: 80302-5482
Phone: (303) 952-5033

Authorized Official

Name: DR. DAVID WIEBE, MD
Title: OWNER
Phone: (720) 255-6037

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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