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Individual

DR. ORRIE G CLEMENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2001 S SHIELDS ST, BLDG L, FORT COLLINS, CO 80526-1827
(970) 221-0565
(970) 221-0575
Mailing address
1113 STONEY HILL RD STE A, FORT COLLINS, CO 80525-1373
(970) 221-0565
(970) 221-0575

Taxonomy

Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
17195
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01171958
CO
Enumeration date
11/10/2005
Last updated
11/18/2015
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