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Organization

INTEGRATIVE PSYCHIATRY CENTER OF BOULDER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSEPH WILLIAM VAN DERVEER III MD (MEDICAL DIRECTOR)
(303) 260-9685
Entity
Organization

Contact information

Practice address
5420 ARAPAHOE AVE STE 1, BOULDER, CO 80303-1250
(303) 260-9685
Mailing address
5420 ARAPAHOE AVE STE 1, BOULDER, CO 80303-1250
(303) 260-9685

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
07/15/2020
Last updated
07/15/2020
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