Individual
ASHLEY ELIZABETH BISNOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1645 BROADWAY, BOULDER, CO 80302-6218
(303) 415-8900
(303) 443-6476
Mailing address
PO BOX 9049, BOULDER, CO 80301-9049
(303) 415-8900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0070177
CO
390200000X
Student in an Organized Health Care Education/Training Program
TL.0008742
CO
Other
Enumeration date
04/05/2021
Last updated
09/27/2024
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