Individual
DR. MORDECHAI FERRIS TWENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3665 JOHN F KENNEDY PKWY, FORT COLLINS, CO 80525-3152
(800) 991-6117
Mailing address
3820 NORTHDALE BLVD STE 201, TAMPA, FL 33624-1893
(800) 991-6117
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
CDR.0004169
CO
208600000X
Surgery Physician
27566
AZ
208600000X
Surgery Physician
Primary
CDR.0004169
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1Z4750
HEALTH NET
AZ
05
—
473512
—
AZ
01
—
770002185
RAIL ROAD MEDICARE
AZ
01
—
AZ0847420
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
04/18/2006
Last updated
02/15/2025
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