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Individual

DR. ROGER C ASHMORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2121 E HARMONY RD, UNIT 100, FORT COLLINS, CO 80528-3401
(970) 221-1000
(970) 297-6844
Mailing address
2121 E HARMONY RD, UNIT 100, FORT COLLINS, CO 80528-3400
(970) 221-1000
(970) 297-6844

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
19989
NE
207RC0000X
Cardiovascular Disease Physician
28884
CO
207RI0011X
Interventional Cardiology Physician
Primary
28884
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01288844
CO
05
111651700
WY
01
P00971194
MCRRR
CO
Enumeration date
06/21/2005
Last updated
07/24/2015
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