Organization
INGREDIENTS FOR LIFE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA ANTON-SCHNELL MD (OWNER)
(720) 582-1212
Entity
Organization
Contact information
Practice address
7490 CLUBHOUSE RD STE 105, BOULDER, CO 80301-3720
(720) 582-1212
(720) 405-4268
Mailing address
4745 JAMESTON ST, BOULDER, CO 80301-4222
(720) 582-1212
(720) 405-4268
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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