Individual
AMIE LYNN MEDITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4800 RIVERBEND RD, SUITE 200, BOULDER, CO 80301-2636
(303) 415-8850
(303) 415-8870
Mailing address
5450 WESTERN AVE, BOULDER, CO 80301-2709
(303) 415-8850
(303) 415-8870
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DR.0041567
CO
207RI0200X
Infectious Disease Physician
Primary
DR.0041567
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
72327812
—
CO
Enumeration date
07/25/2006
Last updated
11/09/2017
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