Organization
BOULDER FAMILY PRACTICE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP FREDERICK WEBER M.D. (PRESIDENT)
(303) 996-6804
Entity
Organization
Contact information
Practice address
1000 ALPINE AVE, #220, BOULDER, CO 80304-3406
(303) 996-6804
(303) 996-6807
Mailing address
1000 ALPINE AVE, #220, BOULDER, CO 80304-3406
(303) 996-6804
(303) 996-6807
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18572
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
56530544
—
CO
Enumeration date
01/13/2006
Last updated
10/02/2007
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