Organization
ENDOCRINOLOGY CONSULTANTS OF NORTHERN COLORADO, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA WIDOM MD (PRESIDENT)
(970) 224-3636
Entity
Organization
Contact information
Practice address
1040 E ELIZABETH ST, UNIT B, FORT COLLINS, CO 80524-3951
(970) 224-3636
(970) 224-3637
Mailing address
2121 E HARMONY RD UNIT 300, FORT COLLINS, CO 80528-3403
(970) 224-9102
(970) 224-9112
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
32251
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09026525
—
CO
01
—
DG3569
RAILROAD MEDICARE
CO
Enumeration date
07/23/2007
Last updated
10/29/2008
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