Organization · Type 2 NPI

Potomac Square Family Medicine, LLC

Primary Care Clinic/Center · Boulder, CO

NPI number 1861001554 Active

Practice location

4800 Baseline Rd Ste D106
Boulder, CO 80303-2643

Call (303) 499-0176 Map

Mailing address

PO Box 173848
Denver, CO 80217-3848

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist 225100000XNone listed
Primary Care Clinic/Center Primary 261QP2300XNone listed

Primary Care Clinic/Center: Definition to come...

3 other providers at this address

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About NPI 1861001554

Potomac Square Family Medicine, LLC's National Provider Identifier is 1861001554, issued on Jul 28, 2020. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Boulder, CO. The record was last updated on Apr 14, 2022.