Organization
MARTIN S. BOHM, D.O., PLLC
Active
Other names
Alpine Meadows Medical Clinic, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN SCOTT BOHM D.O. (PHYSICIAN)
(970) 776-1950
Entity
Organization
Contact information
Practice address
2802 MADISON SQUARE DR, SUITE 120, LOVELAND, CO 80538-3387
(970) 776-1950
(970) 776-1954
Mailing address
2802 MADISON SQUARE DR, SUITE 120, LOVELAND, CO 80538-3387
(970) 776-1950
(970) 776-1954
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44910
COLORADO STATE LICENSE
CO
05
—
70123012
—
CO
Enumeration date
11/27/2007
Last updated
12/03/2009
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