MEDICARE: WELL BEINGS INTEGRATIVE MEDICINE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician

General Provider Information

NPI Number	:	1770214603
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WELL BEINGS INTEGRATIVE MEDICINE, LLC

Provider Business Mailing Address
First Line	:	3810 PIERCE ST
Second Line	:
City	:	WHEAT RIDGE
State	:	CO
Zip	:	80033-4989
Country	:	US
Telephone Number	:	303-854-8871
Fax Number	:

Provider Business Practice Location Address
First Line	:	3810 PIERCE ST
Second Line	:
City	:	WHEAT RIDGE
State	:	CO
Zip	:	80033-4989
Country	:	US
Telephone Number	:	303-854-8871
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MAURA MURPHY FLETCHER
Credential	:
Telephone Number	:	303-238-6500

Provider Enumeration Date	:	06/21/2022
Last Update Date	:	06/21/2022

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