Organization
ROCKY MOUNTAIN FAMILY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD L MCMULLEN (ADMINISTRATOR)
(970) 484-0798
Entity
Organization
Contact information
Practice address
1124 E ELIZABETH ST, BLDG C, FORT COLLINS, CO 80524-4052
(970) 484-0798
(970) 482-0679
Mailing address
1124 E ELIZABETH ST, BLDG C, FORT COLLINS, CO 80524-4052
(970) 484-0798
(970) 482-0679
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04007324
—
CO
Enumeration date
03/23/2007
Last updated
02/11/2010
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