# LONGMONT INTEGRATIVE FAMILY PRACTICE PLLC

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

## Provider details

- **NPI number:** 1700229143
- **Authorized official:** DR. GLENDA WEEMAN DO (PHYSICIAN OWNER)
- **Authorized official phone:** (303) 776-8847

## Contact information

- **Practice address:** 2130 MOUNTAIN VIEW AVE, SUITE 203, LONGMONT, CO 80501-3177
- **Practice address phone:** (303) 776-8847
- **Practice address fax:** (303) 776-8897
- **Mailing address:** 2130 MOUNTAIN VIEW AVE, SUITE 203, LONGMONT, CO 80501-3177
- **Mailing address phone:** (303) 776-8847
- **Mailing address fax:** (303) 776-8897

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 50861 | CO | Yes |

## Other

- **Enumeration date:** 04/16/2013
- **Last updated:** 07/16/2013