Organization
TIMOTHY JUSTICE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY JUSTICE MD (PRESIDENT)
(303) 666-2095
Entity
Organization
Contact information
Practice address
425 COLLEGE AVE, BOULDER, CO 80302-7131
(303) 666-2095
(303) 666-1801
Mailing address
425 COLLEGE AVE, BOULDER, CO 80302-7131
(303) 666-2095
(303) 666-1801
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
32332
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01323328
—
CO
Enumeration date
02/06/2008
Last updated
06/12/2008
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