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Organization
ADVANCED OTOLARYNGOLOGY, P.C.
Active
Organization
ADVANCED OTOLARYNGOLOGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EFFIE D BURKE (BILLING MANAGER)
(970) 493-5334
Entity
Organization
Contact information
Practice address
2001 S SHIELDS ST STE E101, FORT COLLINS, CO 80526-1872
(970) 493-5334
(970) 472-0638
Mailing address
2001 S SHIELDS ST STE E101, FORT COLLINS, CO 80526-1872
(970) 493-5334
(970) 472-0638
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
NULL
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
02/08/2006
Last updated
03/19/2014
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