Organization
DILAAWAR J. MISTRY, M.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DILAAWAR J MISTRY MD (OWNER)
(720) 770-0259
Entity
Organization
Contact information
Practice address
2021 BATTLECREEK DR UNIT A, FORT COLLINS, CO 80528-5120
(720) 770-0259
(970) 557-2326
Mailing address
1001A E HARMONY RD # 181, FORT COLLINS, CO 80525-3354
(720) 770-0259
(970) 557-2326
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
88032779
—
CO
Enumeration date
09/05/2018
Last updated
09/05/2018
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