Organization
LITTLE POUDRE FAMILY CLINIC LLC
Active
Other names
Little Poudre Family Medical
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN A MCGRAW FNP (OWNER)
(970) 472-2001
Entity
Organization
Contact information
Practice address
3817 W COUNTY RD 54G, LAPORTE, CO 80535
(970) 472-2001
(970) 295-4119
Mailing address
3817 W COUNTY RD 54G, LAPORTE, CO 80535
(970) 472-2001
(970) 295-4119
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
46455361
—
CO
Enumeration date
10/05/2020
Last updated
10/05/2020
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