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

Longmont Clinic PC

Organization General Practice Physician · NPI 1043269772

Longmont Clinic PC is a General Practice Physician in Longmont, Colorado. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1925 W Mountain View Ave
Longmont, CO 80501-3128
Phone: (720) 494-3173
Fax: (720) 494-3107
Show map & directions

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

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1043269772
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Stathis — President, Board Of Directors · (720) 494-3173
NPI enumeratedMay 9, 2006
Last updated in NPPESDecember 12, 2013
Mailing address1925 W Mountain View Ave, Longmont, CO 80501-3128

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