Organization
NORTHERN COLORADO PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON ROBERT COLLISON MD (MEMBER/MANAGER)
(614) 439-0053
Entity
Organization
Contact information
Practice address
4786 MCMURRY AVE UNIT 2B, FORT COLLINS, CO 80525-4499
(614) 439-0053
Mailing address
PO BOX 271215, FORT COLLINS, CO 80527-1215
(614) 439-0053
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
03/10/2020
Last updated
03/10/2020
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