Organization
HEALING GARDENS HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELINE C FIELDS MD (OWNER)
(970) 472-6789
Entity
Organization
Contact information
Practice address
315 CANYON AVE, SUITE1, FORT COLLINS, CO 80521-2677
(970) 472-6789
(970) 472-6799
Mailing address
315 CANYON AVENUE, SUITE1, FORT COLLINS, CO 80521-2677
(970) 472-6789
(970) 472-6799
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33698
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
79850731
—
CO
Enumeration date
12/06/2006
Last updated
03/24/2008
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