# KAISER PERMANENTE COLORADO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Boulder Medical Office
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457465767
- **Authorized official:** ANNE E MCDOW (VP HEALTH PLAN ADMINISTRATION)
- **Authorized official phone:** (303) 344-7655

## Contact information

- **Practice address:** 2525 13TH ST, BOULDER, CO 80304-4104
- **Practice address phone:** (303) 440-2777
- **Mailing address:** 2525 13TH ST, BOULDER, CO 80304-4104

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/17/2006
- **Last updated:** 08/22/2020