# ADVANCED OTOLARYNGOLOGY, P.C.

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

## Provider details

- **NPI number:** 1518930882
- **Authorized official:** MRS. EFFIE D BURKE (BILLING MANAGER)
- **Authorized official phone:** (970) 493-5334

## Contact information

- **Practice address:** 2001 S SHIELDS ST STE E101, FORT COLLINS, CO 80526-1872
- **Practice address phone:** (970) 493-5334
- **Practice address fax:** (970) 472-0638
- **Mailing address:** 2001 S SHIELDS ST STE E101, FORT COLLINS, CO 80526-1872
- **Mailing address phone:** (970) 493-5334
- **Mailing address fax:** (970) 472-0638

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | — | NULL | Yes |
| 207Y00000X | Otolaryngology Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/08/2006
- **Last updated:** 03/19/2014