Individual
TIMOTHY JOSEPH MAZZOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5420 ARAPAHOE AVE STE A, BOULDER, CO 80303-1250
(720) 463-0567
(303) 494-5371
Mailing address
PO BOX 21928, BELFAST, ME 04915-4116
(720) 463-0567
(303) 494-5371
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
41636
CO
Other
Enumeration date
11/08/2005
Last updated
09/24/2023
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