Organization
AMAZE PROFESSIONAL MEDICAL SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON STARR (CHIEF LEGAL OFFICER)
(303) 684-7418
Entity
Organization
Contact information
Practice address
8444 SUMMERLIN DR, LONGMONT, CO 80503-3906
(303) 619-9252
Mailing address
PO BOX 329, LONGMONT, CO 80502-0329
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/20/2019
Last updated
07/26/2024
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