Individual
DR. BOB FRED KLINGELHEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1024 LEMAY AVENUE, FORT COLLINS, CO 80524
(970) 495-8600
(970) 495-7619
Mailing address
2008 CARIBOU DRIVE, FORT COLLINS, CO 80525
(970) 484-4757
(970) 377-3386
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
02001615A
IN
2085R0202X
Diagnostic Radiology Physician
Primary
19434
CO
2085R0202X
Diagnostic Radiology Physician
419
NE
2085R0202X
Diagnostic Radiology Physician
5101006852
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27969599
FED COMP DEPT LABOR
—
05
—
78038081
—
CO
01
—
98633
MEDICARE NEBRASKA
—
01
—
CO0211
HLTH NET MEDICARE HMO
—
Enumeration date
07/13/2006
Last updated
01/17/2008
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