Organization
CSMN OPERATIONS BOULDER
Active
Other names
All Points Lodge Boulder
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHLEY BLAIR ELDER PHD (REVENUE CYCLE ADMINISTRATOR)
(737) 247-1223
Entity
Organization
Contact information
Practice address
1360 WALNUT ST STE 110, BOULDER, CO 80302-5399
(970) 693-0015
Mailing address
2205 CORDILLERA WAY, EDWARDS, CO 81632-6290
(970) 693-0015
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/21/2022
Last updated
03/28/2023
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