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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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