Organization Name: | HEALTHY Z OSTEOPATHIC FAMILY MEDICINE, PLLC |
NPI Number: | 1477885895 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ERIC JOSEPH VANZURA (PHYSICIAN MEMBER) |
Mailing Address: | 693 S Broadway St Suite E Boulder |
State: | CO US |
Postal Code: | 803055926 |
Phone Number: | 7202594609 |
Fax Number: | 7205287850 |
NPI Enumeration Date: | 02/10/2010 |
NPI Last Update Date: | 08/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204D00000X |
License Number: | 38620 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
Taxonomy Specialization: | |
Taxonomy Definition: |