Boulder Family Practice Clinic

NPI #1811976186 in Boulder, Colorado

Provider Information

NPI Number: 1811976186
Entity Type: Organization
Organization Name: Boulder Family Practice Clinic
Primary Specialty: Family Medicine
Enumeration Date: Jan 13, 2006
Last Updated: Oct 2, 2007

Practice Location

Address: 1000 ALPINE AVE
Address 2: #220
City: Boulder
State: Colorado
ZIP Code: 80304-3406
Phone: (303) 996-6804

Authorized Official

Name: DR. PHILIP FREDERICK WEBER, M.D.
Title: PRESIDENT
Phone: (303) 996-6804

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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