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Organization

WESTERN INFECTIOUS DISEASE CONSULTANTS, P.C.

Active
Parent organization
WESTERN INFECTIOUS DISEASE CONSULTANTS, P.C.
Organization subpart
Yes

Provider details

NPI number
Legal business name
WESTERN INFECTIOUS DISEASE CONSULTANTS, P.C.
Authorized official
RUTH M SMITH (PRACTICE ADMINISTRATOR)
(303) 425-9245
Entity
Organization

Contact information

Practice address
2030 MOUNTAIN VIEW AVE STE 540, LONGMONT, CO 80501-3183
(303) 425-9245
(720) 630-8591
Mailing address
PO BOX 1449, WHEAT RIDGE, CO 80034-1449
(303) 425-9245
(303) 425-1378

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04007191
CO
Enumeration date
10/09/2017
Last updated
10/09/2017
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