CRANIOFACIAL PAIN AND SLEEP CENTER NPI 1336446475

NPI Information

CRANIOFACIAL PAIN AND SLEEP CENTER is a customized equipment durable medical equipment medical supplies in Fort Collins, CO. CRANIOFACIAL PAIN AND SLEEP CENTER NPI is 1336446475. The provider is registered as an organization entity type.

The provider's business location address is:

2627 REDWING RD
SUITE 300
FORT COLLINS, CO
ZIP 80526-321
Phone: (970) 484-0250
Fax: (970) 484-1522

The provider's authorized official is Richard Harvey Keller .
The authorized official title is President and has the following contact phone number (970) 484-0250.

The enumeration date for this NPI number is 2/25/2011 and was last updated on 4/18/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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