Organization
FIRST LINE ACUPUNCTURE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT ERIK CLEMENSEN MD (OWNER)
(303) 887-0988
Entity
Organization
Contact information
Practice address
4800 BASELINE ROAD, C-108, SUITE 114, BOULDER, CO 80303
(303) 956-3101
Mailing address
1601 29TH STREET #1142, SUITE 1292, BOULDER, CO 80301
(303) 956-3101
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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