Organization
WINDSOR FAMILY CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE NOETZELMANN (BILLING REPRESENTATIVE)
(800) 515-6352
Entity
Organization
Contact information
Practice address
4630 ROYAL VISTA CIR STE 7, WINDSOR, CO 80528-9371
(970) 530-0575
(970) 530-0581
Mailing address
4630 ROYAL VISTA CIR STE 7, WINDSOR, CO 80528-9371
(970) 530-0575
(970) 530-0581
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04008595
—
CO
Enumeration date
08/20/2007
Last updated
08/20/2007
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