Organization
MED PEDS CLINIC OF FORT COLLINS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK SIMMONS M.D. (PHYSICIAN)
(970) 266-3650
Entity
Organization
Contact information
Practice address
4674 SNOW MESA DRIVE, STE 120, FORT COLLINS, CO 80528
(970) 266-3650
(970) 266-3660
Mailing address
4674 SNOW MESA DRIVE, STE 120, FORT COLLINS, CO 80528
(970) 266-3650
(970) 266-3660
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
CO
208000000X
Pediatrics Physician
—
CO
Other
Enumeration date
09/20/2006
Last updated
07/29/2008
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