Potomac Square Family Medicine, LLC
NPI #1861001554 in Boulder, Colorado
Provider Information
- NPI Number
- 1861001554
- Entity Type
- Organization
- Organization Name
- Potomac Square Family Medicine, LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Jul 28, 2020
- Last Updated
- Apr 14, 2022
Practice Location
Authorized Official
- Name
- STEPHANIE GLUCHACKI
- Title
- SVP, COMPLIANCE
- Phone
- (508) 689-9706
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
| Clinic/Center - Primary Care — Primary Care |
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