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Individual

FRED H MEYER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
219 S SUNSET ST, FORT COLLINS, CO 80521-2147
(970) 224-2156
(970) 482-6936
Mailing address
219 S SUNSET STREET, FORT COLLINS, CO 80521-2147
(970) 224-2156
(970) 482-6936

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
21258
NE
207RR0500X
Rheumatology Physician
Primary
25100
CO
207RR0500X
Rheumatology Physician
3714A
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01251008
CO
Enumeration date
09/27/2006
Last updated
02/07/2008
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