Organization
TRAVERSE BAY MEDICAL, PC
Active
Other names
Colorado Integrative Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY LOUISE LOUDER D.O (OWNER)
(303) 722-9000
Entity
Organization
Contact information
Practice address
1815 SUNSHINE AVE, LONGMONT, CO 80504-2225
(303) 722-9000
Mailing address
2575 PARK LN STE 101-B, LAFAYETTE, CO 80026-3200
(303) 722-9000
(844) 800-1478
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/11/2016
Last updated
08/01/2016
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