Organization
THE HEALTHCARE CLINIC OF FORT COLLINS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA W MYERS APNP (OWNER)
(970) 452-7404
Entity
Organization
Contact information
Practice address
1721 W HARMONY ROAD, SUITE 102, FORT COLLINS, CO 80526-7611
(970) 223-1999
(970) 223-4419
Mailing address
24667 SLATER MILL RD, DAPHNE, AL 36526-0199
(970) 452-7404
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
184924
CO
Other
Enumeration date
08/25/2011
Last updated
06/28/2021
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