Organization
DANIEL B JINICH MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL B JINICH M.D. (OWNER/PHYSICIAN)
(970) 221-9991
Entity
Organization
Contact information
Practice address
2001 S SHIELDS ST, SUITE 201 BLDG E, FORT COLLINS, CO 80526-1827
(970) 221-9991
(970) 221-9992
Mailing address
2001 S SHIELDS ST, BLDG E STE 201, FORT COLLINS, CO 80526-1827
(970) 221-9991
(970) 221-9992
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24687
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01246875
—
CO
01
—
080187244
RAILROAD MEDICARE
CO
Enumeration date
03/07/2008
Last updated
12/10/2009
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