Organization
EDWARDS MEDICAL PROVIDER GROUP
Active
Parent organization
EDWARDS MEDICAL PROVIDER GROUP
Other names
Edwards Medical Provider Group Boulder
Organization subpart
Yes
Provider details
NPI number
Legal business name
EDWARDS MEDICAL PROVIDER GROUP
Authorized official
ASHLEY BLAIR ELDER PHD (REVENUE CYCLE ADMINISTRATOR)
(737) 247-1223
Entity
Organization
Contact information
Practice address
1360 WALNUT ST STE 104B, BOULDER, CO 80302-5399
(970) 693-0015
Mailing address
2205 CORDILLERA WAY, EDWARDS, CO 81632-6290
(737) 247-1223
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/28/2023
Last updated
01/26/2024
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