Individual
PAUL THOMAS MAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1635 BLUE SPRUCE DR, SUITE 121, FORT COLLINS, CO 80524-5427
(970) 494-4040
(970) 494-4076
Mailing address
802 W DRAKE RD, STE 101, FORT COLLINS, CO 80526-5567
(303) 286-4560
(303) 286-4589
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0033992
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01339928
—
CO
Enumeration date
04/14/2006
Last updated
05/14/2021
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