Individual
DR. ELVIRA MARIA IANCU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2950 E HARMONY RD, FORT COLLINS, CO 80528-3419
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0054705
CO
207Q00000X
Family Medicine Physician
036101367
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025776
KAISER COMMERCIAL NUMBER
CO
05
—
036101367
—
IL
05
—
39024776
—
CO
01
—
553180
MEDICARE GROUP #
IL
Enumeration date
06/24/2006
Last updated
04/07/2021
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