Organization
NORTH COLORADO EMERGENCY PHYSICIANS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA COX (TEAM LEAD)
(970) 663-2742
Entity
Organization
Contact information
Practice address
1801 16TH ST, GREELEY, CO 80631-5154
(970) 679-9349
Mailing address
PO BOX 337420, GREELEY, CO 80633-0624
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04011219
—
CO
01
—
CU0664
RAILROAD MEDICARE
CO
Enumeration date
06/25/2006
Last updated
04/20/2008
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