Provider First Line Business Practice Location Address:
WARDENBURG HEALTH CTR
Provider Second Line Business Practice Location Address:
CAMPUS BOX 119
Provider Business Practice Location Address City Name:
BOULDER
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80309-0119
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-492-6280
Provider Business Practice Location Address Fax Number:
303-492-1248
Provider Enumeration Date:
03/27/2007