Individual
GEORGE KENDRICK PHILBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1024 S LEMAY AVE, FORT COLLINS, CO 80524-3929
(303) 306-7783
(303) 306-7753
Mailing address
PO BOX 912215, DENVER, CO 80291-2215
(303) 306-7783
(303) 306-7753
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
36120
IA
207P00000X
Emergency Medicine Physician
Primary
38853
CO
207Q00000X
Family Medicine Physician
36120
IA
207Q00000X
Family Medicine Physician
38853
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20302843
—
CO
Enumeration date
07/18/2006
Last updated
03/03/2014
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