Individual
DR. AIDA YAVARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1830 LAPORTE AVE, FORT COLLINS, CO 80521-2341
(970) 416-6240
(970) 416-6241
Mailing address
203 S ROLLIE AVE, BILLING DEPT-CREDENTIALIST, FORT LUPTON, CO 80621-1508
(303) 286-4560
(303) 286-4589
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20A11477
CA
207Q00000X
Family Medicine Physician
Primary
DR.0056108
CO
207Q00000X
Family Medicine Physician
OS11648
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006244000
—
FL
Enumeration date
11/20/2010
Last updated
05/13/2016
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