Organization
COLORADO UROLOGY CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IAN NORMAN FAUCONIER M.D. (MEDICAL DOCTOR)
(970) 542-0444
Entity
Organization
Contact information
Practice address
400 STATE ST, FORT MORGAN, CO 80701-2120
(970) 542-0444
(970) 542-0111
Mailing address
PO BOX 218, FORT MORGAN, CO 80701-0218
(970) 542-0444
(970) 542-0111
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
56178239
—
CO
Enumeration date
08/01/2007
Last updated
02/09/2010
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