Individual
MARIA SHERRILYN DELLOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1006 CENTRE AVE, FORT COLLINS, CO 80526-1849
(970) 482-9001
(970) 482-1411
Mailing address
1006 CENTRE AVE, FORT COLLINS, CO 80526-1849
(970) 482-9001
(970) 482-1411
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
40824
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
61858731
—
CO
Enumeration date
02/07/2006
Last updated
10/29/2010
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