Locke Family Medicine, LLC

NPI #1598850166 in Basalt, Colorado

Provider Information

NPI Number: 1598850166
Entity Type: Organization
Organization Name: Locke Family Medicine, LLC
Primary Specialty: Family Medicine
Enumeration Date: Oct 3, 2006
Last Updated: Jul 24, 2013

Practice Location

Address: 1450 EAST VALLEY ROAD
Address 2: SUITE 101
City: Basalt
State: Colorado
ZIP Code: 81621
Phone: (970) 279-4111

Authorized Official

Name: DR. KELLY LOCKE, M.D.
Title: OWNER
Phone: (970) 279-4111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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