NPI: 1467069120
Provider Name: COLORADO MEDICAL GROUP, PLLC
Doing Business As: UNITED VEIN CENTERS OF FORT COLLINS, CO
Classification: Surgery - 2086S0129X
Entity Type: Organization
Specialization: Vascular Surgery
CLIA Number: 06D2120133
Address:
3665 JOHN F KENNEDY PKWY STE 200
FORT COLLINS, CO
ZIP 80525
Phone: (800) 991-6117
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COLORADO MEDICAL GROUP, PLLC is a vascular surgery surgery in Fort Collins, CO. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. COLORADO MEDICAL GROUP, PLLC NPI is 1467069120. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As United Vein Centers Of Fort Collins, Co.
The provider's business location address is:
3665 JOHN F KENNEDY PKWY STE 200
FORT COLLINS, CO
ZIP 80525-152
Phone: (800) 991-6117
Fax: (888) 812-8191
The provider's authorized official is Lori Hein .
The authorized official title is Credentialing Manager and has the following contact phone number (813) 379-9829.
The CLIA number assigned to this NPI record is 06D2120133 - physician office with a certificate type of Certificate of Compliance.
The enumeration date for this NPI number is 9/28/2020 and was last updated on 9/30/2020.