Organization
PVHS-ICM EMPLOYEE HEALTH AND WELLNESS, LLC
Active
Parent organization
ASSOCIATES FAMILY MEDICINE
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASSOCIATES FAMILY MEDICINE
Authorized official
BRIAUNA SOUDERS (MANAGER)
(970) 237-6339
Entity
Organization
Contact information
Practice address
2211 S COLLEGE AVE, SUITE 300, FORT COLLINS, CO 80525-1489
(970) 237-6339
(970) 482-2091
Mailing address
2211 S COLLEGE AVE, SUITE 300, FORT COLLINS, CO 80525-1489
(970) 237-6339
(970) 482-2091
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/19/2013
Last updated
08/19/2013
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