NPI Provider: 1720084635
Contact Name: Detwiler Devin
Position: Practice Administrator
Phone: (303) 425-9581
Northwest Family Medicine Information:
Northwest Family Medicine organization have npi 1720084635, taxonomy code is 261QP2300X with license number is 105493 in . This Business address located in 500 Discovery Pkwy, Superior, CO 80027 Colorado.
Practice Location
Address: 500 Discovery Pkwy, Superior, CO 80027
Phone: (303) 425-9581
Business Location
Address: 500 Discovery Pkwy, Superior, CO 80027
Phone: (303) 425-9581
Fax: (303) 425-9259
Taxonomy
Taxonomy Code: 261QP2300X
License Number: 105493
License Number of State: CO
Primary Taxonomy Switch: Y
Enumeration Date: 6/24/2005
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