Healthcare Provider Details

I. General information

NPI: 1467035683
Provider Name (Legal Business Name): INSIGHT SYSTEMS PBC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2021
Last Update Date: 05/05/2021
Certification Date: 05/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2855 MAIN AVE STE A105
DURANGO CO
81301-5959
US

IV. Provider business mailing address

2855 MAIN AVE STE A105
DURANGO CO
81301-5959
US

V. Phone/Fax

Practice location:
  • Phone: 833-552-5382
  • Fax:
Mailing address:
  • Phone: 833-552-5382
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. MARK AARON BRAUNSTEIN
Title or Position: OWNER/CEO
Credential: DO
Phone: 970-799-3938