Organization
INTEGRATIVE CENTER FOR HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOLA MACDONALD DO (OWNER)
(970) 472-8008
Entity
Organization
Contact information
Practice address
315 CANYON AVE, SUITE 3, FORT COLLINS, CO 80521-2677
(970) 472-8008
(970) 416-7739
Mailing address
315 CANYON AVE, SUITE 3, FORT COLLINS, CO 80521-2677
(970) 472-8008
(970) 416-7739
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32793
CO
Other
Enumeration date
12/06/2006
Last updated
08/22/2020
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