Individual
JAN HESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1120 E ELIZABETH #G1, FORT COLLINS, CO 80524-4044
(970) 493-2776
(970) 493-2772
Mailing address
1120 E ELIZABETH #G1, FORT COLLINS, CO 80524-4044
(970) 493-2776
(970) 493-2772
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32754
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01327543
—
CO
05
—
89650727
—
CO
Enumeration date
10/28/2008
Last updated
08/01/2011
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