Organization
ROCKY MOUNTAIN CENTER FOR REPRODUCTIVE MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA H BOLDT (ADMINISTRATOR)
(970) 493-6353
Entity
Organization
Contact information
Practice address
1080 E ELIZABETH ST, FT COLLINS, CO 80524
(970) 493-6353
(970) 493-6366
Mailing address
1080 E ELIZABETH ST, FT COLLINS, CO 80524
(970) 493-6353
(970) 493-6366
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
27514
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01275148
—
CO
Enumeration date
05/04/2007
Last updated
08/22/2020
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