# PHYLLIS HAMAR, LAC

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

## Provider details

- **NPI number:** 1487987160
- **Authorized official:** PHYLLIS HAMAR LAC, M.S.T.CM. (OWNER)
- **Authorized official phone:** (970) 539-0324

## Contact information

- **Practice address:** 710 11TH AVE STE 106, GREELEY, CO 80631-3200
- **Practice address phone:** (970) 539-0324
- **Mailing address:** PO BOX 121, SEVERANCE, CO 80546-0121
- **Mailing address phone:** (970) 539-0324

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 1431 | CO | Yes |

## Other

- **Enumeration date:** 09/11/2009
- **Last updated:** 09/11/2009