Organization
UNIV OF N CO STUDENT HLTH CTR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER POMEROY MSPT (DIR OF REHAB SVCS UNC ST HLTH)
(970) 392-2431
Entity
Organization
Contact information
Practice address
1901 10TH AVE, CASSIDY HALL, GREELEY, CO 80631
(970) 351-2412
(970) 350-4953
Mailing address
1901 10TH AVE, CASSIDY HALL, GREELEY, CO 80631
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
235
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0620042
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/06/2006
Last updated
08/22/2020
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