Organization
WELLNESS RESTORATION COMPANY LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY BOULDIN MD (ADMINISTRATION)
(321) 989-2187
Entity
Organization
Contact information
Practice address
2515 SILVER SPUR ST, LOVELAND, CO 80537-8704
(321) 989-2187
(833) 410-3619
Mailing address
2515 SILVER SPUR ST, LOVELAND, CO 80537-8704
(833) 410-3619
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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