Individual
MARK ANDREW TERUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3351 EASTBROOK DR STE 100, FORT COLLINS, CO 80525-5744
(970) 493-7733
(970) 493-8745
Mailing address
3351 EASTBROOK DR STE 100, FORT COLLINS, CO 80525-5744
(970) 493-7733
(970) 493-8745
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
44625
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20231351
—
CO
Enumeration date
05/24/2006
Last updated
04/11/2024
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