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Organization

ROCKY MOUNTAIN FAMILY PRACTICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES M FRETWELL M.D. (OWNER/PRESIDENT)
(303) 772-6244
Entity
Organization

Contact information

Practice address
205 S MAIN ST STE B, LONGMONT, CO 80501-1714
(303) 772-6244
(303) 702-1623
Mailing address
205 S MAIN ST, SUITE B, LONGMONT, CO 80501-1716
(303) 772-6244

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
83350870
CO
Enumeration date
08/05/2006
Last updated
04/27/2022
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