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Individual

MR. IAN MATHEW MORLOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
5387 MANHATTAN CIR, BOULDER, CO 80303-4284
(303) 494-7773
Mailing address
541 COLLEGE ST, BOULDER, CO 80302-8713

Taxonomy

Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
RN-1632168
CO
363LA2100X
Acute Care Nurse Practitioner
Primary
1000158-NP
CO

Other

Enumeration date
04/04/2020
Last updated
03/10/2025
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