Organization
COLLINS & WOLZ MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA JACKSON (OFFICE MANAGER)
(970) 867-4916
Entity
Organization
Contact information
Practice address
625 W PLATTE AVE, FORT MORGAN, CO 80701-2669
(970) 867-4916
Mailing address
PO BOX 799, FORT MORGAN, CO 80701-0799
(970) 867-4916
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04990040
—
CO
Enumeration date
03/21/2007
Last updated
08/22/2020
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