Whalio Doctors

NPI 1376682740

Breckenridge Medical Clinic, LLC

Organisation Emergency Medicine Physician Breckenridge, CO

Practice location

Address
555 South Park Avenue Plaza 2, Breckenridge, CO 80424
Phone
(970) 453-1010
Mailing address
Department 1965, Denver, CO 80291-1965

Authorised official

Name
Paul Chodowski
Title
President/Ceo
Phone
(970) 668-2852

Registered specialties (2)

Emergency Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207P00000X
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Registry record

NPI
1376682740
Entity type
Organization
NPI issued
5 Feb 2007
Record last updated
20 Oct 2009

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.