Organization
HERITAGE FAMILY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS EDWARD CANHAM MD (PRESIDENT / CEO)
(970) 224-1596
Entity
Organization
Contact information
Practice address
1006 ROBERTSON ST, FORT COLLINS, CO 80524-3900
(970) 224-1596
(970) 530-1919
Mailing address
1006 ROBERTSON ST, FORT COLLINS, CO 80524-3900
(970) 224-1596
(970) 530-1919
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/29/2016
Last updated
01/29/2016
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