Individual
BETHANY ENGBLOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4856 INNOVATION DR, FORT COLLINS, CO 80525-5539
(970) 494-4200
(844) 270-1824
Mailing address
4856 INNOVATION DR, FORT COLLINS, CO 80525-5539
(970) 494-4200
(844) 270-1824
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0045697
CO
207QA0401X
Addiction Medicine (Family Medicine) Physician
DR.0045697
CO
Other
Enumeration date
07/15/2008
Last updated
03/21/2025
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