Organization
LARRY ECKSTEIN, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY ECKSTEIN M.D. (PRESIDENT)
(303) 917-2612
Entity
Organization
Contact information
Practice address
2760 29TH ST, SUITE 2-D, BOULDER, CO 80301-1214
(303) 546-9158
(303) 546-9107
Mailing address
PO BOX 21150, BOULDER, CO 80308-4150
(303) 546-9158
(303) 546-9107
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
33042
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01330422
—
CO
01
—
33042
MEDICAL LICENSE NUMBER
CO
01
—
A44118
UPIN #
CO
Enumeration date
03/13/2009
Last updated
03/02/2016
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