Advanced Family Health PLLC
Organization Active NPI Family Medicine Physician · Louisville, CO
NPI 1174649230 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1174649230
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 41946 (CO)
- Legal business name
- ADVANCED FAMILY HEALTH PLLC
- Practice address
- 325 W South Boulder Rd
Suite #1
Louisville, CO 80027-1159 - Phone
- (303) 666-6566
- NPI assigned
- Mar 21, 2007
- Organization subpart
- No
Authorized official
- Name
- Lora L Bulmahn, MD
- Title
- Manager, Physician
- Phone
- (303) 666-4949
National Provider Directory
Locations
325 W South Boulder Rd
Ste 1
Louisville, CO 80027
Phone (303) 579-5134
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 41946 | CO | Yes |
Addresses
Primary practice location
325 W South Boulder Rd
Suite #1
Louisville, CO 80027-1159
Mailing address
325 W South Boulder Rd
Suite #1
Louisville, CO 80027-1159
Phone (303) 666-4949
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.