Individual
DR. D K MORTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1236 E ELIZABETH ST, SUITE 1, FORT COLLINS, CO 80524-4000
(970) 224-2985
Mailing address
1236 E ELIZABETH ST, SUITE 1, FORT COLLINS, CO 80524-4000
(970) 224-2985
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
DR.0053822
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137456700
—
WY
05
—
90002075
—
CO
01
—
P01378144
RR MEDICARE
CO
Enumeration date
05/09/2007
Last updated
01/20/2015
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