NPI 1043269772

Longmont Clinic PC

Organisation General Practice Physician Longmont, CO

Practice location

Address: 1925 W Mountain View Ave, Longmont, CO 80501-3128
Phone: (720) 494-3173
Fax: (720) 494-3107

Authorised official

Name: John P. Stathis
Title: President, Board of Directors
Phone: (720) 494-3173

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Colorado →

Registry record

NPI: 1043269772
Entity type: Organization
NPI issued: 9 May 2006
Record last updated: 12 Dec 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.