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Individual

MYRTO ANGELA ASHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3303 BROADWAY ST, BOULDER, CO 80304-2241
(303) 449-6050
(303) 417-2852
Mailing address
3303 BROADWAY ST, BOULDER, CO 80304-2241
(303) 449-6050
(303) 417-2852

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
42946
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64505715
CO
Enumeration date
12/01/2006
Last updated
07/08/2007
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