Organization
BOULDER INTERNAL MEDICINE PC
Active
Other names
Front Range Preventive Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM LAWSON BLANCHET MD (PRESIDENT)
(303) 443-7226
Entity
Organization
Contact information
Practice address
2880 FOLSOM ST, SUITE 100, BOULDER, CO 80304-3769
(303) 443-7226
(303) 443-7168
Mailing address
2880 FOLSOM ST, SUITE 100, BOULDER, CO 80304-3769
(303) 443-7226
(303) 443-7168
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04021960
—
CO
Enumeration date
10/04/2006
Last updated
03/26/2024
Update your record
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