Premiercare

NPI #1902002116 in Basalt, Colorado

Provider Information

NPI Number: 1902002116
Entity Type: Organization
Organization Name: Premiercare
Primary Specialty: Family Medicine
Enumeration Date: Jun 25, 2007
Last Updated: Aug 4, 2008

Practice Location

Address: 227 MIDLAND AVE STE 15B
City: Basalt
State: Colorado
ZIP Code: 81621-8119
Phone: (970) 927-8563

Authorized Official

Name: TIMOTHY RICHARD KRUSE, MD
Title: OWNER
Phone: (970) 927-8563

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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