Individual
DR. KENT PARIS BASHFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1725 E PROSPECT RD, FORT COLLINS, CO 80525-1307
(970) 221-2222
(970) 221-4286
Mailing address
1725 E PROSPECT RD, FORT COLLINS, CO 80525-1307
(970) 221-2222
(970) 221-4286
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
41243
CO
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
Primary
41243
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
93425040
—
CO
Enumeration date
05/31/2005
Last updated
04/25/2019
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