# DANIEL B JINICH MD PC

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

## Provider details

- **NPI number:** 1801066600
- **Authorized official:** DR. DANIEL B JINICH M.D. (OWNER/PHYSICIAN)
- **Authorized official phone:** (970) 221-9991

## Contact information

- **Practice address:** 2001 S SHIELDS ST, SUITE 201 BLDG E, FORT COLLINS, CO 80526-1827
- **Practice address phone:** (970) 221-9991
- **Practice address fax:** (970) 221-9992
- **Mailing address:** 2001 S SHIELDS ST, BLDG E STE 201, FORT COLLINS, CO 80526-1827
- **Mailing address phone:** (970) 221-9991
- **Mailing address fax:** (970) 221-9992

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 24687 | CO | Yes |

## Other

- **Enumeration date:** 03/07/2008
- **Last updated:** 12/10/2009