Organization
BRECKENRIDGE MEDICAL CLINIC, LLC
Active
Other names
Breckenridge Medical Clinic, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL CHODOWSKI (PRESIDENT/CEO)
(970) 668-2852
Entity
Organization
Contact information
Practice address
555 SOUTH PARK AVENUE, PLAZA 2, BRECKENRIDGE, CO 80424
(970) 453-1010
Mailing address
DEPARTMENT 1965, DENVER, CO 80291-1965
(303) 486-5500
(303) 486-5501
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
Other
Enumeration date
02/05/2007
Last updated
10/20/2009
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