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Organization

GERALD C MCINTOSH MD

Active
Other names
Neurology Associates of Northern Colorado
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GERALD CLINTON MCINTOSH MD (OWNER)
(970) 482-4373
Entity
Organization

Contact information

Practice address
1221 E ELIZABETH ST, SUITE 3, FORT COLLINS, CO 80524-4065
(970) 482-4373
(970) 484-5682
Mailing address
1221 E ELIZABETH ST, SUITE 3, FORT COLLINS, CO 80524-4065
(970) 482-4373
(970) 484-5682

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09082735
CO
01
DA6242
RAILROAD MEDICARE
CO
Enumeration date
12/05/2006
Last updated
06/17/2008
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