Individual
ALYSSA SNOW CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1645 BROADWAY, BOULDER, CO 80302-6218
(303) 415-8900
(303) 443-6476
Mailing address
PO BOX 9049, BOULDER, CO 80301-9049
(303) 415-8900
(303) 443-6476
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0050026
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10202218
—
CO
Enumeration date
07/22/2009
Last updated
10/20/2023
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