Healthcare Provider Details

I. General information

NPI: 1710818539
Provider Name (Legal Business Name): AUTOMATE CLINIC, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3134 6TH ST
BOULDER CO
80304-2508
US

IV. Provider business mailing address

PO BOX 644
BOULDER CO
80306-0644
US

V. Phone/Fax

Practice location:
  • Phone: 720-684-9159
  • Fax:
Mailing address:
  • Phone: 720-684-9159
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSHUA A EMDUR
Title or Position: PHYSICIAN
Credential: DO
Phone: 720-684-9159