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Miles Medical Group Llc
General Practice Physician in Boulder, Colorado
NPI 1215641683

Miles Medical Group Llc is a General Practice Physician based in Denver, CO. Miles Medical Group Llc practices in Boulder, CO. The NPI Number for Miles Medical Group Llc is 1215641683 and holds a License No. (Colorado).

The current practice location address for Miles Medical Group Llc is 1942 Broadway Ste 314C, Boulder, CO and can be reached out via phone at 970-306-6819 and via fax at 650-374-5584.

Location: 1942 Broadway Ste 314C, Boulder, CO, 80202-6427
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215641683
Provider Name
Miles Medical Group Llc
Credential
Provider Entity Type
Organization
Address
1942 Broadway Ste 314C, Boulder, CO, 80202-6427
Phone Number
970-306-6819
Fax Number
650-374-5584
Provider Enumeration Date
01/10/2023
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1477087146 05 CO
1477087146 05 FL
institution
Provider Business Practice Location Address Details
Address
1942 Broadway Ste 314C
City
Boulder
State
Colorado
Zip
80302-5233
Phone Number
970-306-6819
Fax Number
650-374-5584
person
Provider Business Mailing Address Details
Address
1942 Broadway Ste 314C
City
Boulder
State
Colorado
Zip
80302-5233
Phone Number
970-306-6819
Fax Number
650-374-5584
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
()
Definition
Definition to come...
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