# FORT COLLINS WOMEN'S CLINIC, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Women's Clinic of Northern Colorado
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588225015
- **Authorized official:** SUSAN FREEMAN (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (970) 294-4462

## Contact information

- **Practice address:** 2500 ROCKY MOUNTAIN AVE STE 2150, LOVELAND, CO 80538-9004
- **Practice address phone:** (970) 493-7442
- **Practice address fax:** (970) 493-2990
- **Mailing address:** 1107 S LEMAY AVE STE 300, FORT COLLINS, CO 80524-3955
- **Mailing address phone:** (970) 493-7442

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/25/2019
- **Last updated:** 06/25/2019