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1136 E Stuart St Suite 3-240 Fort Collins CO 80525-1195 | |
| (970) 420-6848 | |
| (970) 682-2183 |
| Full Name | |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1136 E Stuart St, Fort Collins, Colorado |
| Authorized Official Name and Position | Aric A Murphy (CEO, SURGEON) |
| Authorized Official Contact | 9704206848 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1136 E Stuart St Suite 3-240 Fort Collins CO 80525-1195 Ph: (970) 420-6848 | 1136 E Stuart St Suite 3-240 Fort Collins CO 80525-1195 Ph: (970) 420-6848 |
| NPI Number | 1972865269 |
|---|---|
| Provider Enumeration Date | 06/12/2012 |
| Last Update Date | 03/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972865269 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 10154 (Colorado) | Primary |
| 204E00000X | Oral & Maxillofacial Surgery | 51252 (Colorado) | Secondary |
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