Individual
JOHN GINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
1920 MAINSAIL DR, FORT COLLINS, CO 80524-6707
(970) 217-0491
Mailing address
1920 MAINSAIL DR, FORT COLLINS, CO 80524-6707
(970) 217-0491
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
2560
CO
Other
Enumeration date
02/21/2020
Last updated
02/21/2020
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