Organization
FRONT RANGE CANCER SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIUS (GYULA) MEDGYESY (CEO)
(970) 212-7600
Entity
Organization
Contact information
Practice address
2315 E HARMONY RD, #110, FORT COLLINS, CO 80528-8620
(970) 212-7600
(970) 212-7637
Mailing address
2315 E HARMONY RD, #110, FORT COLLINS, CO 80528-8620
(970) 212-7600
(970) 212-7637
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
38494
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3003
NEIC SITE ID, NSF BA0-7
CO
05
—
83679561
—
CO
01
—
C801223
MEDICARE PTAN
CO
01
—
DD0348
MEDICARE RAILROAD
CO
01
—
FRF64319
BLUE CROSS BLUE SHIELD ID
CO
Enumeration date
05/09/2006
Last updated
07/31/2013
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