Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Four Mile Creek Health

Organization Family Medicine Physician · NPI 1225854425

Four Mile Creek Health provides Family Medicine Physician services in Boulder, Colorado. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

3434 47th St Ste 225
Boulder, CO 80301-1880
Phone: (703) 850-1533
Fax: (303) 586-7592
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1225854425
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Radford Fagan — Vice President · (720) 792-2852
NPI enumeratedDecember 3, 2024
Last updated in NPPESDecember 3, 2024
Certification dateDecember 3, 2024
Mailing address3434 47th St Ste 225, Boulder, CO 80301-1880

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