Provider First Line Business Practice Location Address:
LEADVILLE CLINIC
Provider Second Line Business Practice Location Address:
1609 N POPLAR ST.
Provider Business Practice Location Address City Name:
LEADVILLE
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80461
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
720-584-8055
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/07/2022