Harvest Functional Medicine

NPI #1477334324 in Boulder, Colorado

Provider Information

NPI Number: 1477334324
Entity Type: Organization
Organization Name: Harvest Functional Medicine
Primary Specialty: Integrative Medicine
Enumeration Date: Oct 6, 2023
Last Updated: Oct 6, 2023

Practice Location

Address: 1942 BROADWAY
City: Boulder
State: Colorado
ZIP Code: 80302-5213
Phone: (303) 501-4194

Authorized Official

Name: SAMANTHA HUDGINS, PA-C
Title: FOUNDER
Phone: (303) 536-7407

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Integrative Medicine	202D00000X	Primary

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