Organization
NORTHWEST FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEVIN DETWILER (PRACTICE ADMINISTRATOR)
(303) 425-9581
Entity
Organization
Contact information
Practice address
500 DISCOVERY PKWY, STE 150, SUPERIOR, CO 80027-8639
(303) 425-9581
Mailing address
500 DISCOVERY PKWY, SUITE 150, SUPERIOR, CO 80027-8639
(303) 425-9581
(303) 425-9259
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
105493
CO
Other
Enumeration date
06/24/2005
Last updated
01/07/2008
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