Individual
PHILIP N. PRIEBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1107 S LEMAY AVE, SUITE 300, FORT COLLINS, CO 80524-3957
(970) 493-7442
(970) 493-2990
Mailing address
1107 S LEMAY AVE, SUITE 300, FORT COLLINS, CO 80524-3957
(970) 493-7442
(970) 493-2990
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
38192
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
91084865
—
CO
01
—
P00419043
RAILROAD MEDICARE
CO
Enumeration date
08/09/2005
Last updated
03/10/2020
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