Organization
THE FAMILY CLINIC OF FORT COLLINS
Active
Parent organization
THE FAMILY CLINIC OF FORT COLLINS
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE FAMILY CLINIC OF FORT COLLINS
Authorized official
STEVEN THORSON (PHYSICIAN)
(970) 482-2791
Entity
Organization
Contact information
Practice address
1212 E ELIZABETH ST, FORT COLLINS, CO 80524-4007
(970) 482-2791
Mailing address
1212 E ELIZABETH ST, FORT COLLINS, CO 80524-4007
(970) 482-2791
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
18564
CO
207Q00000X
Family Medicine Physician
Primary
19796
CO
207Q00000X
Family Medicine Physician
32165
CO
207Q00000X
Family Medicine Physician
39319
CO
207Q00000X
Family Medicine Physician
39325
CO
207Q00000X
Family Medicine Physician
42006
CO
Other
Enumeration date
10/10/2006
Last updated
08/19/2008
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