Organization
BRUNDIGE FAMILY PRACTICE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA QUIST M.A. (MEDICAL)
(303) 237-0086
Entity
Organization
Contact information
Practice address
8015 W ALAMEDA AVE, SUITE 050, LAKEWOOD, CO 80226-3041
(303) 237-0086
(303) 237-6112
Mailing address
8015 W ALAMEDA AVE, SUITE 050, LAKEWOOD, CO 80226-3041
(303) 237-0086
(303) 237-6112
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19240
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
79204
BLUE CROSS/BLUE SHIELD
CO
Enumeration date
11/05/2007
Last updated
11/05/2007
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