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Organization

FORT COLLINS SPINE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN RAY MD (OWNER)
(970) 818-2791
Entity
Organization

Contact information

Practice address
2021 BATTLECREEK DR, UNIT D, FORT COLLINS, CO 80528-5119
(970) 286-2393
(970) 825-5920
Mailing address
2021 BATTLECREEK DR, UNIT D, FORT COLLINS, CO 80528-5119
(970) 286-2393
(970) 825-5920

Taxonomy

Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
53745
CO

Other

Enumeration date
02/25/2015
Last updated
09/16/2015
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