Unknown Individual – Family Medicine Physician, NPI 1558368407
Family Medicine Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
203, Rollie Avenue, Fort Lupton, Weld County, Colorado, 80621, United States
FORT LUPTON, CO 806211508
Phone: (303) 286-4560
Fax: (303) 286-4589
Type: Mailing
1860, East Egbert Street, Brighton, Adams County, Colorado, 80601, United States
BRIGHTON, CO 806012475
Phone: (303) 659-4000
Fax: (303) 655-4924
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 80621)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | WY | |
| - | CO | |
| Family Practice | CO | |
| Clinical Social Worker | CO | |
| Family Practice | CO | |
| - | CO | |
| Physician Assistant | CO | |
| - | CO | |
| - | CO | |
| Physician Assistant | CO |
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