Individual
ADAM D MACKINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
615 FAIRHURST ST, STERLING, CO 80751-4523
(970) 521-3223
Mailing address
615 FAIRHURST ST, STERLING, CO 80751-4523
(970) 521-3223
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
44712
CO
Other
Enumeration date
07/14/2006
Last updated
03/18/2008
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