Organization · Type 2 NPI
Traverse Bay Medical, PC
Primary Care Clinic/Center · Longmont, CO
NPI number
1124474945
Active
Practice location
1815 Sunshine Ave
Longmont, CO 80504-2225
Mailing address
2575 Park Ln Ste 101-B
Lafayette, CO 80026-3200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1124474945
Traverse Bay Medical, PC's National Provider Identifier is 1124474945, issued on May 11, 2016. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Longmont, CO. The record was last updated on Aug 1, 2016.