Organization
BRYVIC MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR DUARTE FNP-C, WCC (NURSE PRACTITIONER / OWNER)
(970) 217-4896
Entity
Organization
Contact information
Practice address
1914 FALCON RIDGE DR, FORT COLLINS, CO 80528-5100
(970) 217-4896
Mailing address
1914 FALCON RIDGE DR, FORT COLLINS, CO 80528-5100
(970) 217-4896
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
—
—
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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