Organization
COLORADO CENTER FOR LIFESTYLE MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRONWYN RADCLIFFE (OWNER)
(719) 207-4083
Entity
Organization
Contact information
Practice address
301 OAK ST UNIT A, SALIDA, CO 81201-3340
(719) 207-4083
Mailing address
PO BOX 827, SALIDA, CO 81201-0827
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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