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Organization
FORT COLLINS CONSULTANTS IN PATHOLOGY PC
Active
Organization
FORT COLLINS CONSULTANTS IN PATHOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER STASZAK MD (PRESIDENT)
(970) 495-8740
Entity
Organization
Contact information
Practice address
1024 LEMAY AVE, FORT COLLINS, CO 80524-3929
(970) 495-8740
(970) 495-7605
Mailing address
1024 LEMAY AVE, FORT COLLINS, CO 80524-3929
(970) 495-8740
(970) 495-7605
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04110086
—
CO
01
—
CT0131
RAILROAD MEDICARE
—
Enumeration date
06/12/2006
Last updated
05/29/2008
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