Individual
JOHN PHILLIP ABBOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
310 EAST OLIVE STREET, LAMAR, CO 81052-2841
(719) 931-9844
(719) 931-8007
Mailing address
310 EAST OLIVE STREET, LAMAR, CO 81052-2841
(719) 931-9844
(719) 931-8007
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29346
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01293463
—
CO
Enumeration date
01/30/2007
Last updated
11/04/2024
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