Organization
EMERGENCY PROFESSIONALS OF COLORADO, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN TRACCI MOUGANIS (DIRECTOR OF PROVIDER ENROLLMENT)
(856) 686-4394
Entity
Organization
Contact information
Practice address
2000 BOISE AVE, LOVELAND, CO 80538-5006
(970) 820-4640
Mailing address
5000 HOPYARD RD STE 100, PLEASANTON, CA 94588-3146
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
01/11/2022
Last updated
01/11/2022
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