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Individual

DR. FELICIA LONGENECKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2750 BROADWAY ST, BOULDER, CO 80304-3586
(303) 440-3082
(303) 440-3281
Mailing address
2750 BROADWAY ST, BOULDER, CO 80304-3586
(303) 440-3000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DR.0066949
CO
207R00000X
Internal Medicine Physician
TP248
KY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
TP248
LICENSE
KY
Enumeration date
04/09/2012
Last updated
04/30/2026
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