Edwards Medical Provider Group

NPI #1801662135 in Boulder, Colorado

Provider Information

NPI Number
1801662135
Entity Type
Organization
Organization Name
Edwards Medical Provider Group
Subpart
Yes (part of a larger organization)
Parent Organization
EDWARDS MEDICAL PROVIDER GROUP
Primary Specialty
Clinic/Center - Multi-Specialty
Enumeration Date
Nov 28, 2023
Last Updated
Jan 26, 2024

Practice Location

Address
1360 WALNUT ST STE 104B
ZIP Code
80302-5399
Phone
(970) 693-0015

Authorized Official

Name
ASHLEY BLAIR ELDER, PHD
Title
REVENUE CYCLE ADMINISTRATOR
Phone
(737) 247-1223

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Multi-SpecialtyMulti-Specialty

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Provider Name
Kaiser Foundation Health Plan of Colorado

Part of Kaiser Permanente

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