Organization
BOULDER COMMUNITY HEALTH SPORTS MEDICINE IMAGING LLC
Active
Other names
Boulder Community Health Sports Medicine Imaging LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM MUNSON (V.P. AND CHIEF FINANCIAL OFFICER)
(303) 415-7433
Entity
Organization
Contact information
Practice address
2150 STADIUM DR FL 2, SUITE 100, BOULDER, CO 80309-0380
(303) 315-9901
(303) 315-9902
Mailing address
PO BOX 9019, BOULDER, CO 80301-9019
(303) 938-3295
(303) 440-2435
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
07/02/2015
Last updated
08/06/2015
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