# AMAZE PROFESSIONAL MEDICAL SERVICES PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225674625
- **Authorized official:** AARON STARR (CHIEF LEGAL OFFICER)
- **Authorized official phone:** (303) 684-7418

## Contact information

- **Practice address:** 8444 SUMMERLIN DR, LONGMONT, CO 80503-3906
- **Practice address phone:** (303) 619-9252
- **Mailing address:** PO BOX 329, LONGMONT, CO 80502-0329

## Taxonomy

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

## Other

- **Enumeration date:** 11/20/2019
- **Last updated:** 07/26/2024