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Organization

ADVANCED OTOLARYNGOLOGY, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. EFFIE D BURKE (BILLING MANAGER)
(970) 493-5334
Entity
Organization

Contact information

Practice address
2001 S SHIELDS ST STE E101, FORT COLLINS, CO 80526-1872
(970) 493-5334
(970) 472-0638
Mailing address
2001 S SHIELDS ST STE E101, FORT COLLINS, CO 80526-1872
(970) 493-5334
(970) 472-0638

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04011946
CO
01
DA0290
RAILROAD GROUP ID
CO
Enumeration date
02/08/2006
Last updated
03/19/2014
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