NPI 1497908362 · live from the CMS NPI Registry
All Sports Medicine Of Boulder
Family Medicine, Sports Medicine in Boulder, CO. National Provider Identifier 1497908362, active.
NPI record
| NPI | 1497908362 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine, Sports Medicine 207QS0010X |
| Practice location | 3825 Iris Ave, Suite 300, Boulder, CO 80301 |
| Practice phone | 720-563-9469 |
| Enumerated | October 23, 2008 |
| Last updated | October 23, 2008 |
| Authorized official | Lisa Brone, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine, Sports Medicine primary | 207QS0010X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.