Organization
COLORADO PLAINS PHYSICIAN PRACTICES LLC
Active
Other names
Colorado Plains Internal Medicine and Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL CLARK (PRESIDENT)
(615) 372-8500
Entity
Organization
Contact information
Practice address
1000 LINCOLN ST, SUITE 207, FORT MORGAN, CO 80701-3290
(970) 867-6277
Mailing address
1000 LINCOLN ST, SUITE 207, FORT MORGAN, CO 80701-3290
(970) 867-6277
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DR46889
CO
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
09/30/2008
Last updated
03/27/2009
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