Organization
HARVEST FUNCTIONAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA HUDGINS PA-C (FOUNDER)
(303) 536-7407
Entity
Organization
Contact information
Practice address
1942 BROADWAY, BOULDER, CO 80302-5213
(303) 501-4194
Mailing address
1942 BROADWAY, BOULDER, CO 80302-5213
(303) 501-4194
Taxonomy
Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
10/06/2023
Last updated
10/06/2023
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