Organization
NEPHROLOGY CLINIC PC
Active
Parent organization
NEPHROLOGY CLINIC PC
Other names
The Nephrology Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEPHROLOGY CLINIC PC
Authorized official
TOBEY J. MIKULA (PRACTICE ADMINISTRATOR)
(970) 493-7733
Entity
Organization
Contact information
Practice address
620 IRIS DR, STERLING, CO 80751-4716
(970) 493-7733
Mailing address
3351 EASTBROOK DR STE 100, FORT COLLINS, CO 80525-5744
(970) 493-7733
(970) 493-8745
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
02/12/2020
Last updated
03/20/2023
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