Individual
DR. COLLEEN FAHEY ZIMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1343 E PROSPECT RD, SUITE 1, FORT COLLINS, CO 80525-1115
(970) 221-4500
(970) 221-4504
Mailing address
1343 E PROSPECT RD, SUITE 1, FORT COLLINS, CO 80525-1115
(970) 221-4500
(970) 221-4504
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6880
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02068807
—
CO
Enumeration date
03/01/2007
Last updated
07/09/2007
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