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Individual

FARRAH DATKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2315 E HARMONY RD, SUITE 170, FORT COLLINS, CO 80528-8620
(970) 493-6337
(970) 493-3528
Mailing address
2315 E HARMONY RD, SUITE 170, FORT COLLINS, CO 80528-8620
(970) 493-6337
(970) 493-3528

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DR.0052442
CO
207RH0003X
Hematology & Oncology Physician
29201
NE
207RH0003X
Hematology & Oncology Physician
Primary
DR.0052442
CO
207RH0003X
Hematology & Oncology Physician
TL6456
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
72484250
CO
Enumeration date
05/11/2007
Last updated
11/19/2020
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