Organization
NORTH COLORADO EAR NOSE & THROAT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE M REINERT (OFFICE MANAGER)
(970) 356-4646
Entity
Organization
Contact information
Practice address
2528 16TH ST, GREELEY, CO 80634-4955
(970) 356-4646
(970) 356-2041
Mailing address
PO BOX 130, KERSEY, CO 80644
(970) 356-4646
(970) 356-2041
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04651048
—
CO
01
—
NO65104
ANTHEM BCBS
CO
Enumeration date
08/31/2006
Last updated
04/04/2013
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