Organization
WELLSPRING FAMILY HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FLORA BREWINGTON M.D. (PRESIDENT)
(970) 224-0754
Entity
Organization
Contact information
Practice address
1136 E STUART ST STE 3240, FORT COLLINS, CO 80525-1196
(970) 224-0754
(970) 224-0757
Mailing address
1136 E STUART ST STE 3240, FORT COLLINS, CO 80525-1196
(970) 224-0754
(970) 224-0757
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
CO42177
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11920246
—
CO
Enumeration date
04/18/2008
Last updated
04/18/2008
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