Organization
GLENWOOD MEDICAL ASSOCIATES PC
Active
Parent organization
GLENWOOD MEDICAL ASSOCIATES PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GLENWOOD MEDICAL ASSOCIATES PC
Authorized official
TIM BURNS (CHIEF ADMINISTRATIVE OFFICER)
(970) 945-8503
Entity
Organization
Contact information
Practice address
2001 N HORSESHOE TRL, SILT, CO 81652-9832
(970) 876-5700
(970) 876-0482
Mailing address
1830 BLAKE AVE, GLENWOOD SPRINGS, CO 81601-4275
(970) 945-8503
(970) 945-0253
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
48893
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03078345
—
CO
Enumeration date
11/09/2012
Last updated
11/09/2012
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