Organization
NEPHROLOGY CLINIC PC
Active
Other names
The Nephrology Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
TOBEY MIKULA (PRACTICE ADMINISTRATOR)
(970) 493-7733
Entity
Organization
Contact information
Practice address
3116 WILLET DR, LARAMIE, WY 82072
(970) 493-7733
(970) 493-8745
Mailing address
1600 SPECHT POINT RD, SUITE 127, FT COLLINS, CO 80525-4311
(970) 493-7733
(970) 493-8745
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Enumeration date
12/06/2007
Last updated
10/19/2020
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