Organization
COLORADO PLAIN PHYSICIAN PRACTICES, LLC
Active
Other names
Colorado Plains General Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY VAUGHN (PRESIDENT)
(970) 867-7900
Entity
Organization
Contact information
Practice address
1000 LINCOLN ST, SUITE 208, FORT MORGAN, CO 80701-3290
(970) 542-4371
(970) 542-4373
Mailing address
1000 LINCOLN ST, SUITE 208, FORT MORGAN, CO 80701-3290
(970) 542-4371
(970) 542-4373
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
07/28/2009
Last updated
07/28/2009
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