Organization
EYE LASER CENTER OF NORTHERN COLORADO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA L KINCHER (DEPT MANAGER)
(970) 221-2222
Entity
Organization
Contact information
Practice address
1725 E PROSPECT RD, FORT COLLINS, CO 80525-1307
(970) 419-2667
(970) 221-4286
Mailing address
1725 E PROSPECT RD, FORT COLLINS, CO 80525-1307
(970) 419-2667
(970) 221-4286
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
03/15/2007
Last updated
06/16/2008
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