# GLENWOOD MEDICAL ASSOCIATES PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GLENWOOD MEDICAL ASSOCIATES PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1073867271
- **Legal business name:** GLENWOOD MEDICAL ASSOCIATES PC
- **Authorized official:** TIM BURNS (CHIEF ADMINISTRATIVE OFFICER)
- **Authorized official phone:** (970) 945-8503

## Contact information

- **Practice address:** 2001 N HORSESHOE TRL, SILT, CO 81652-9832
- **Practice address phone:** (970) 876-5700
- **Practice address fax:** (970) 876-0482
- **Mailing address:** 1830 BLAKE AVE, GLENWOOD SPRINGS, CO 81601-4275
- **Mailing address phone:** (970) 945-8503
- **Mailing address fax:** (970) 945-0253

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 48893 | CO | Yes |

## Other

- **Enumeration date:** 11/09/2012
- **Last updated:** 11/09/2012