Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Edwards Medical Provider Group

Organization Multi-Specialty Clinic/Center · NPI 1801662135

Edwards Medical Provider Group is a Multi-Specialty Clinic/Center in Boulder, Colorado. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1360 Walnut St Ste 104B
Boulder, CO 80302-5399
Phone: (970) 693-0015
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X

Record details

NPI number1801662135
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationEdwards Medical Provider Group
Authorized official Ashley Elder — Revenue Cycle Administrator · (737) 247-1223
Other names Edwards Medical Provider Group Boulder; Edwards Medical Provider Group Boulder
NPI enumeratedNovember 28, 2023
Last updated in NPPESJanuary 26, 2024
Certification dateJanuary 26, 2024
Mailing address2205 Cordillera Way, Edwards, CO 81632-6290

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