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Individual

DR. MARK CAMDEN LOURY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2001 S SHIELDS ST STE E101, FORT COLLINS, CO 80526-1872
(970) 493-5334
(970) 493-3727
Mailing address
2001 S SHIELDS ST STE E101, FORT COLLINS, CO 80526-1872
(970) 493-5334
(970) 472-0638

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
33274
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01332741
CO
01
040007458
RAILROAD MEDICARE
CO
Enumeration date
02/08/2006
Last updated
11/11/2021
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