Individual
DR. NICHOLAS JEROME STATKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1024 S LEMAY AVE, FORT COLLINS, CO 80524-3929
(970) 484-4757
(970) 484-4759
Mailing address
2008 CARIBOU DR, FORT COLLINS, CO 80525-4325
(970) 484-4757
(970) 484-4759
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
27836
NE
2085R0202X
Diagnostic Radiology Physician
9826A
WY
2085R0202X
Diagnostic Radiology Physician
Primary
DR.0053812
CO
Other
Enumeration date
05/24/2007
Last updated
07/01/2025
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