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Individual

DR. DOUGLAS W BEARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1313 RIVERSIDE AVE, FORT COLLINS, CO 80524-4352
(970) 493-1292
(970) 493-9066
Mailing address
1313 RIVERSIDE AVE, FORT COLLINS, CO 80524-4352
(970) 493-1292
(970) 493-9066

Taxonomy

Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
17861
NE
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
31566
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01315662
CO
Enumeration date
12/05/2005
Last updated
06/03/2008
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