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Organization
PLASTIC SURGICAL ASSOCIATES OF FORT COLLINS
Active
Organization
PLASTIC SURGICAL ASSOCIATES OF FORT COLLINS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE DUNCAN MD (OWNER)
(970) 493-7445
Entity
Organization
Contact information
Practice address
1701 E PROSPECT RD, FORT COLLINS, CO 80525-1307
(970) 493-7445
Mailing address
1701 E PROSPECT RD, FORT COLLINS, CO 80525-1307
(970) 493-7445
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003822065
NPPES PROBABLY
CO
Enumeration date
10/04/2021
Last updated
10/04/2021
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