# INTEGRATED MEDICAL GROUP

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

## Provider details

- **NPI number:** 1700273083
- **Authorized official:** MS. TARRYN LEIGH FARRELL (CFO)
- **Authorized official phone:** (970) 226-1117

## Contact information

- **Practice address:** 2244 E HARMONY RD STE 110, FORT COLLINS, CO 80528-3422
- **Practice address phone:** (970) 226-1117
- **Practice address fax:** (970) 226-0251
- **Mailing address:** 2244 E HARMONY RD STE 110, FORT COLLINS, CO 80528-3422
- **Mailing address phone:** (970) 226-1117
- **Mailing address fax:** (970) 226-0251

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | CO | Yes |
| 363L00000X | Nurse Practitioner | — | CO | — |

## Other

- **Enumeration date:** 04/23/2015
- **Last updated:** 02/22/2018