# BOULDER FAMILY MEDICINE, PC

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

## Provider details

- **NPI number:** 1295929503
- **Authorized official:** DR. CHARLES TAWA M.D. (MANAGER/OWNER)
- **Authorized official phone:** (303) 996-6923

## Contact information

- **Practice address:** 1000 ALPINE AVE, STE 260, BOULDER, CO 80304-3406
- **Practice address phone:** (303) 996-6923
- **Practice address fax:** (303) 996-6926
- **Mailing address:** 1000 ALPINE AVE, STE 260, BOULDER, CO 80304-3406
- **Mailing address phone:** (303) 996-6923
- **Mailing address fax:** (303) 996-6926

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 28790 | CO | Yes |

## Other

- **Enumeration date:** 08/29/2007
- **Last updated:** 11/16/2007