Organization
FORT COLLINS WOMEN'S CLINIC, PC
Active
Other names
The Women's Clinic of Northern Colorado
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT KENYON (PRACTICE ADMINISTRATOR)
(970) 493-7442
Entity
Organization
Contact information
Practice address
1107 S LEMAY AVE, SUITE 300, FORT COLLINS, CO 80524-3957
(970) 493-7442
(970) 493-2990
Mailing address
1107 S LEMAY AVE, SUITE 300, FORT COLLINS, CO 80524-3955
(970) 493-7442
(970) 493-2990
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04010625
—
CO
Enumeration date
05/02/2006
Last updated
05/03/2018
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