Organization
JENNIFER D CECIL MD PLLC
Active
Organization
JENNIFER D CECIL MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER DIANE CECIL M.D. (OWNER)
(970) 669-8998
Entity
Organization
Contact information
Practice address
2902 GINNALA DR, SUITE 1, LOVELAND, CO 80538-7817
(970) 669-8998
(970) 669-8693
Mailing address
2902 GINNALA DR, SUITE 1, LOVELAND, CO 80538-7817
(970) 669-8998
(970) 669-8693
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
32604
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01326040
—
CO
01
—
1201020001
PTAN
CO
01
—
CK2709
MEDICARE RAILROAD
CO
Enumeration date
01/19/2007
Last updated
01/05/2011
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