Individual
ALONZO CHILDERS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3820 N GRANT AVE, LOVELAND, CO 80538-8412
(970) 593-1177
(970) 593-0470
Mailing address
1120 E ELIZABETH ST, F-101, FORT COLLINS, CO 80524-4044
(970) 221-1177
(970) 416-1969
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
21678
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01216787
—
CO
Enumeration date
02/10/2006
Last updated
07/08/2007
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