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 |
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Address | 5387 Manhattan Cir, Boulder, Colorado |
Phone Number | 3034942705 |
Fax Number | 3034942706 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRINCIPAL |
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Authorized Official Name | Tanner E David |
Credentials | D.O |
Telephone Number | 3034942705 |
NPI Number Detail
NPI Number | 1578601969 |
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Provider Enumeration Date | 2007-02-01 |
Last Updated Date | 2008-12-12 |
Provider Mailing Address Detail
Address | 5387 Manhattan Cir |
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City | Boulder |
State | Colorado (CO) |
Post Code | 803034284 |
Phone Number | 3034942705 |
Fax Number | 3034942706 |
Provider's Primary Taxonomy Detail
Speciality | Neuromusculoskeletal Medicine & Omm |
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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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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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