Dakota Ridge Family Medicine, PC

NPI #1720043888 in Boulder, Colorado

Provider Information

NPI Number: 1720043888
Entity Type: Organization
Organization Name: Dakota Ridge Family Medicine, PC
Primary Specialty: Family Medicine
Enumeration Date: Apr 19, 2006
Last Updated: Oct 25, 2007

Practice Location

Address: 2995 BASELINE RD
Address 2: SUITE 210
City: Boulder
State: Colorado
ZIP Code: 80303-2318
Phone: (303) 443-2544

Authorized Official

Name: VICKIE E MCCAY
Title: OFFICE MANAGER
Phone: (303) 443-2544

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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