Organization
NORTHERN COLORADO PULMONARY CONSUTLANTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STANLEY GUNSTREAM M.D. (PRESIDENT)
(970) 224-9102
Entity
Organization
Contact information
Practice address
2121 E HARMONY RD, STE 300, FORT COLLINS, CO 80528-3400
(970) 224-9102
Mailing address
2121 E HARMONY RD, STE 300, FORT COLLINS, CO 80528-3400
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04612081
—
CO
01
—
CT1086
RAILROAD MEDICARE
CO
Enumeration date
01/24/2006
Last updated
06/07/2011
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