Unknown Individual – Family Medicine Physician, NPI 1265614317
Family Medicine Physician
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NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
825, Milan Terrace Drive, Oakridge Estates, Fort Collins, Larimer County, Colorado, 80525, United States
FORT COLLINS, CO 805256713
Phone: (970) 377-0734
Type: Mailing
2121, East Harmony Road, Fort Collins, Larimer County, Colorado, 80528-9599, United States
SUITE 310
FORT COLLINS, CO 805283400
Phone: (970) 221-3855
Fax: (970) 212-1238
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 80525)
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Group practice members
- 1
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- 5
| Name | Specialty | State |
|---|---|---|
| H O S P I T A L I S T | CO | |
| - | CO | |
| - | CO | |
| Nurse Practitioner | CO | |
| - | CO | |
| Mental Health Counselor | CO | |
| - | WY | |
| Family Practice | CO | |
| Nurse Practitioner | CO | |
| Family Practice | CO |
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