Individual
JULIE F PADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2600 CAMPUS DR, A, LAFAYETTE, CO 80026-3357
(303) 673-1900
(303) 673-1915
Mailing address
3995 LONGWOOD AVE, BOULDER, CO 80305
(303) 499-0109
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
10095
MT
207Q00000X
Family Medicine Physician
Primary
26838
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01268382
—
CO
Enumeration date
05/31/2006
Last updated
01/24/2013
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