Organization · Type 2 NPI

Crossroads Medical Center

Family Medicine Physician · Boulder, CO

NPI number 1164048161 Active

Practice location

2760 29th St Ste 2B
Boulder, CO 80301-1221

Fax (303) 444-6465

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

5 other providers at this address

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NPI record

NPI: 1164048161
Entity type: Organization (Type 2)
Issued: Jun 25, 2020
Last updated: Sep 27, 2024
Status: Active

Other names

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Crossroads Medical Center LLC · doing business as
Carl A Mortiz JR MBR · other name
Carl A Mortiz JR MBR · other name

Authorized official

Ms. Lauren Jasilli, FNP-C
Practice Owner
(303) 444-6400

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About NPI 1164048161

Crossroads Medical Center's National Provider Identifier is 1164048161, issued on Jun 25, 2020. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Boulder, CO. The record was last updated on Sep 27, 2024.