# SIMPLY VAX, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Simply Vax, pllc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013678135
- **Authorized official:** MELISSA RHOADS (DIRECTOR)
- **Authorized official phone:** (970) 599-0330

## Contact information

- **Practice address:** 239 W 67TH CT, LOVELAND, CO 80538-1177
- **Practice address phone:** (970) 599-0330
- **Mailing address:** 239 W 67TH CT, LOVELAND, CO 80538-1177
- **Mailing address phone:** (970) 599-0330

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/02/2022
- **Last updated:** 01/15/2022