Individual
DR. NIKITA T. VISCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2500 E PROSPECT RD, FORT COLLINS, CO 80525-9718
(970) 493-0112
(970) 493-0521
Mailing address
2500 E PROSPECT RD, FORT COLLINS, CO 80525-9718
(970) 493-0112
(970) 493-0521
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
0035644
CO
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
035644
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01356443
—
CO
Enumeration date
06/21/2006
Last updated
03/24/2020
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