Organization
INTEGRATED FAMILY MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIAN BURSTEN M.D. P.H.D. (OWNER PHYSICIAN)
(970) 282-1173
Entity
Organization
Contact information
Practice address
110 W HARVARD ST, STE 2, FORT COLLINS, CO 80525-5217
(970) 282-1173
(970) 282-1175
Mailing address
110 W HARVARD ST, STE 2, FORT COLLINS, CO 80525-5217
(970) 282-1173
(970) 282-1175
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
42461
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710942339
NPI - INDIVIDUAL
CO
Enumeration date
01/03/2007
Last updated
08/22/2020
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