Organization
HARVEST COLORADO FUNCTIONAL MEDICINE, LLC
Active
Other names
Harvest Functional Medicine, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA HUDGINS PA-C (OWNER)
(303) 501-4194
Entity
Organization
Contact information
Practice address
9935 SYLVESTOR RD, HIGHLANDS RANCH, CO 80129-6212
(303) 501-4194
Mailing address
9249 S BROADWAY UNIT 200, HIGHLANDS RANCH, CO 80129-5692
(303) 536-7407
Taxonomy
Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
01/19/2024
Last updated
03/01/2024
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