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Individual

DR. MAYA NICOLE GEORGALLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
3609 S TIMBERLINE RD, FORT COLLINS, CO 80525-3430
(970) 377-0005
Mailing address
975 LANDMARK WAY UNIT 7, FORT COLLINS, CO 80524-4190
(925) 998-5751
(925) 998-5751

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT.0004114
CO

Other

Enumeration date
06/04/2025
Last updated
06/04/2025
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