Creekside Physical Medicine Pllc in Boulder - Neuromusculoskeletal Medicine & Omm

Creekside Physical Medicine Pllc - NPI 1578601969

Creekside Physical Medicine Pllc is a Neuromusculoskeletal Medicine & Omm in Boulder, Colorado. Creekside Physical Medicine Pllc practices all healthcare services and medical treatments related to Neuromusculoskeletal Medicine & Omm. The NPI Number for Creekside Physical Medicine Pllc is 1578601969. The last update date is 2008-12-12.

Creekside Physical Medicine Pllc's current location address is 5387 Manhattan Cir, Boulder, Colorado. You can contact this provider via phone number 3034942705 and fax number 3034942706. The mailing address for Creekside Physical Medicine Pllc is 5387 Manhattan Cir, Boulder, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Organization Creekside Physical Medicine Pllc
Address 5387 Manhattan Cir, Boulder, Colorado
Phone Number 3034942705
Fax Number 3034942706
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRINCIPAL
Authorized Official Name Tanner E David
Credentials D.O
Telephone Number 3034942705

NPI Number Detail

NPI Number 1578601969
Provider Enumeration Date 2007-02-01
Last Updated Date 2008-12-12

Provider Mailing Address Detail

Address 5387 Manhattan Cir
City Boulder
State Colorado (CO)
Post Code 803034284
Phone Number 3034942705
Fax Number 3034942706

Provider's Primary Taxonomy Detail

Speciality Neuromusculoskeletal Medicine & Omm
Taxonomy 204D00000X
Licence No 38635
Definition:
The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Med

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FAQs about Creekside Physical Medicine Pllc

What is the unique identifier code issued to Creekside Physical Medicine Pllc by the Centers for Medicare & Medicaid Services?

The Creekside Physical Medicine Pllc has been assigned the NPI (National Provider Identifier) 1578601969. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Creekside Physical Medicine Pllc's facilities are geographically located?

The facilities of Creekside Physical Medicine Pllc are physically situated at the following location: 5387 Manhattan Cir, Boulder, CO, 803034284.

What is Creekside Physical Medicine Pllc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Creekside Physical Medicine Pllc is Neuromusculoskeletal Medicine & Omm, and the taxonomy classification code that categorizes this area of expertise is 204D00000X.

When was the Creekside Physical Medicine Pllc's 1578601969 issued?

The Creekside Physical Medicine Pllc's 1578601969 was issued on 2007-02-01.

As of what date was the information regarding Creekside Physical Medicine Pllc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Creekside Physical Medicine Pllc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-12-12.

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