Organization
GR8 ALCHEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILIA RIPOLL M.D. (OWNER)
(303) 554-4444
Entity
Organization
Contact information
Practice address
4790 TABLE MESA DR STE 108, BOULDER, CO 80305-5660
(303) 554-4444
(303) 499-1308
Mailing address
4790 TABLE MESA DR STE 108, BOULDER, CO 80305-5660
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/23/2013
Last updated
12/23/2013
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