Rising Tide Natural Medicine

NPI 1104157858 - Naturopath - 175F00000X

NPI Details
NPI 1104157858
Enumeration Date 01/20/2010
Last Updated 01/20/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name LIAM LIAM
Position PRESIDENT
Phone (303) 501-0819
Fax
Practice Location
2321 30TH ST
BOULDER CO, 80301-1103, US
Phone (303) 501-0819
Fax
Business Location
4985 TWIN LAKES RD
APT 87
BOULDER CO, 80301-3894, US
Phone (303) 501-0819
Fax
Toxanomy
Taxonomy Code 175F00000X
License State Maine
License Number NP227
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According to our database, Rising Tide Natural Medicine NPI is 1104157858, taxonomy code is 175F00000X and license number is NP227, license state is located at Maine. Rising Tide Natural Medicine physically located at 2321 30th St, Boulder CO, 80301-1103. NPI Number 1033115704 has the healthcare provider type.

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1104157858 NPI number is provided on an as is basis without warranty of any kind. 1104157858 is maintained by the National Plan & Provider Enumeration System. The contents of Rising Tide Natural Medicine are for informational purposes only.