Organization
NORTHERN COLORADO SURGICAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS G CHIAVETTA (DOCTOR OF MEDICINE)
(970) 482-6456
Entity
Organization
Contact information
Practice address
2121 E HARMONY RD, SUITE 250, FORT COLLINS, CO 80528-3400
(970) 482-6456
(970) 482-3921
Mailing address
2121 E HARMONY RD, SUITE 250, FORT COLLINS, CO 80528-3400
(970) 482-6456
(970) 482-3921
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04022083
—
CO
Enumeration date
01/24/2007
Last updated
01/23/2014
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