Midvalley Family Practice PC

NPI #1568559748 in Basalt, Colorado

Provider Information

NPI Number: 1568559748
Entity Type: Organization
Organization Name: Midvalley Family Practice PC
Primary Specialty: Dental Hygienist
Enumeration Date: Oct 6, 2006
Last Updated: Jul 7, 2020

Practice Location

Address: 1450 E VALLEY RD
Address 2: SUITE 102
City: Basalt
State: Colorado
ZIP Code: 81621
Phone: (970) 927-4666

Authorized Official

Name: HEATHER BORONSKI
Title: OFFICE MANAGER
Phone: (970) 927-4666

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary
Family Medicine	207Q00000X
Community/Behavioral Health	251S00000X
Nurse Practitioner - Family — Family	363LF0000X

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