Individual
REBECCA ANN DE LATORRE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1212 E ELIZABETH ST, FORT COLLINS, CO 80524-4007
(970) 482-2791
(970) 495-9843
Mailing address
1006 FOX HILLS DR, FORT COLLINS, CO 80526-3905
(970) 223-7732
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32165
CO
Other
Enumeration date
08/16/2005
Last updated
07/08/2007
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