# PHYSIOM ASSOCIATES, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124100763
- **Authorized official:** BRUCE A LOCKWOOD MD (OFFICER)
- **Authorized official phone:** (970) 377-9555

## Contact information

- **Practice address:** 1300 OAKRIDGE DR, \#130, FORT COLLINS, CO 80525-5564
- **Practice address phone:** (970) 377-9555
- **Practice address fax:** (970) 377-9559
- **Mailing address:** 1300 OAKRIDGE DR, \#130, FORT COLLINS, CO 80525-5564
- **Mailing address phone:** (970) 377-9555
- **Mailing address fax:** (970) 377-9559

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/20/2006
- **Last updated:** 06/23/2011