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Organization
HERITAGE FAMILY MEDICINE
Active
Organization
HERITAGE FAMILY MEDICINE
Active
Other names
Heritage Senior Care
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT TALBOT (OPERATIONS MANAGER)
(970) 224-1596
Entity
Organization
Contact information
Practice address
1006 ROBERTSON ST, FORT COLLINS, CO 80524
(970) 224-1596
(970) 530-1919
Mailing address
1006 ROBERTSON ST, FORT COLLINS, CO 80524
(970) 224-1596
(970) 530-1919
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36358
CO
363LG0600X
Gerontology Nurse Practitioner
—
NULL
363LG0600X
Gerontology Nurse Practitioner
—
—
Other
Enumeration date
12/18/2006
Last updated
01/07/2014
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