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Organization
DAKOTA RIDGE FAMILY MEDICINE, PC
Active
Organization
DAKOTA RIDGE FAMILY MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKIE E MCCAY (OFFICE MANAGER)
(303) 443-2544
Entity
Organization
Contact information
Practice address
2995 BASELINE RD, SUITE 210, BOULDER, CO 80303-2318
(303) 443-2544
(303) 443-6476
Mailing address
2995 BASELINE RD, SUITE 210, BOULDER, CO 80303-2318
(303) 443-2544
(303) 443-6476
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/19/2006
Last updated
10/25/2007
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