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Organization
ENDOCRINOLOGY CONSULTANTS OF NORTHERN COLORADO, P.C.
Active
Organization
ENDOCRINOLOGY CONSULTANTS OF NORTHERN COLORADO, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA WIDOM MD (PRESIDENT)
(970) 224-3636
Entity
Organization
Contact information
Practice address
1040 E ELIZABETH ST, UNIT B, FORT COLLINS, CO 80524-3951
(970) 224-3636
(970) 224-3637
Mailing address
2121 E HARMONY RD UNIT 300, FORT COLLINS, CO 80528-3403
(970) 224-9102
(970) 224-9112
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
32251
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09026525
—
CO
01
—
DG3569
RAILROAD MEDICARE
CO
Enumeration date
07/23/2007
Last updated
10/29/2008
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