Individual
DR. GEORGE EDWARD GIRARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3744 S. TIMBERLINE RD, SUITE 102, FORT COLLINS, CO 80525-4334
(970) 495-0506
(970) 495-0485
Mailing address
3744 S. TIMBERLINE RD, SUITE 102, FORT COLLINS, CO 80525-4334
(970) 495-0506
(970) 495-0485
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
33258
CO
208VP0014X
Interventional Pain Medicine Physician
Primary
33258
CO
208VP0014X
Interventional Pain Medicine Physician
7058A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01332584
—
CO
01
—
050062212
MEDICARE - RR
CO
05
—
10026360700
—
NE
05
—
109533100
—
WY
01
—
P00647832
MEDICARE - RR
CO
05
—
XXXXXXXXX13
—
NE
Enumeration date
10/06/2005
Last updated
10/06/2016
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