Organization
EMERGENCY PROFESSIONALS OF COLORADO, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DERISE WOODS (AUTHORIZED OFFICIAL)
(865) 293-5651
Entity
Organization
Contact information
Practice address
2000 70TH AVE, GREELEY, CO 80634-8626
(970) 350-6244
Mailing address
PO BOX 638803, CINCINNATI, OH 45263-8803
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
68535066
—
CO
Enumeration date
03/11/2021
Last updated
03/11/2021
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