Organization
FORT COLLINS CONSULTANTS IN PATHOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER STASZAK MD (PRESIDENT)
(970) 495-8740
Entity
Organization
Contact information
Practice address
1024 LEMAY AVE, FORT COLLINS, CO 80524-3929
(970) 495-8740
(970) 495-7605
Mailing address
1024 LEMAY AVE, FORT COLLINS, CO 80524-3929
(970) 495-8740
(970) 495-7605
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04110086
—
CO
01
—
CT0131
RAILROAD MEDICARE
—
Enumeration date
06/12/2006
Last updated
05/29/2008
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