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Organization
FAMILY PRACTICE CLINIC, PC
Active
Organization
FAMILY PRACTICE CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN VIRGIL LINDELL M.D. (OWNER)
(970) 867-8221
Entity
Organization
Contact information
Practice address
220 E BEAVER AVE, FORT MORGAN, CO 80701-3103
(970) 867-8221
(970) 867-7124
Mailing address
220 E BEAVER AVE, FORT MORGAN, CO 80701-3103
(970) 867-8221
(970) 867-7124
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24719
CO
Other
Enumeration date
09/21/2006
Last updated
08/22/2020
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