Individual
DR. DERIC MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1625 FOXTRAIL DR STE 190, LOVELAND, CO 80538-9089
(970) 619-6900
(970) 619-6990
Mailing address
1300 RIVERSIDE AVE STE 102, FORT COLLINS, CO 80524-4351
(970) 224-1670
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
48280
CO
Other
Enumeration date
05/24/2008
Last updated
09/10/2021
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