# FAMILY PHYSICIANS OF GREELEY, LLP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FAMILY PHYSICIANS OF GREELEY LLP
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1942698071
- **Legal business name:** FAMILY PHYSICIANS OF GREELEY LLP
- **Authorized official:** MR. KYLE JON LYNCH (PRACTICE ADMINISTRATOR AUTHORIZED O)
- **Authorized official phone:** (970) 378-8000

## Contact information

- **Practice address:** 473 CASTLE PINES AVE, SUITE 1, JOHNSTOWN, CO 80534
- **Practice address phone:** (970) 587-7881
- **Practice address fax:** (970) 587-7738
- **Mailing address:** 6801 W. 20TH STREET, SUITE 101, GREELEY, CO 80634
- **Mailing address phone:** (970) 378-8000
- **Mailing address fax:** (970) 378-8088

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207QA0000X | Adolescent Medicine (Family Medicine) Physician | — | NULL | — |
| 207QA0000X | Adolescent Medicine (Family Medicine) Physician | — | — | — |

## Other

- **Enumeration date:** 12/23/2014
- **Last updated:** 07/20/2023