Individual
BRIAN CRONK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3702 S TIMBERLINE RD, FORT COLLINS, CO 80525-3624
(970) 207-9773
(970) 207-1893
Mailing address
3702 S TIMBERLINE RD, FORT COLLINS, CO 80525-3624
(970) 207-9773
(970) 207-1893
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
643
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002402359
—
CO
Enumeration date
09/25/2006
Last updated
09/22/2021
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