Organization
CENTERS FOR GASTROENTEROLOGY
Active
Parent organization
CENTERS FOR GASTROENTEROLOGY
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTERS FOR GASTROENTEROLOGY
Authorized official
BILLIE BEDDOE (CREDENTIALING COORDINATOR)
(970) 212-0879
Entity
Organization
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
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04006219
—
CO
01
—
CS9815
MEDICARE RAILROAD PIN
CO
Enumeration date
09/20/2006
Last updated
09/11/2024
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