# YOUR FAMILY MEDICAL HOME,PLLC

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

## Provider details

- **NPI number:** 1720301344
- **Authorized official:** JOHN DAVID ZAITZ (ADMINISTRATOR)
- **Authorized official phone:** (925) 597-0121

## Contact information

- **Practice address:** 435 N PARK AV, SUITE 2A, BRECKENRIDGE, CO 80424
- **Practice address phone:** (970) 238-7070
- **Practice address fax:** (970) 453-5332
- **Mailing address:** PO BOX 5620, BRECKENRIDGE, CO 80424-5620
- **Mailing address phone:** (970) 238-7070
- **Mailing address fax:** (970) 423-5332

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 31975 | CO | Yes |
| 261Q00000X | Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/10/2010
- **Last updated:** 08/17/2021