| Bryvic Medical, Llc | |
|
1914 Falcon Ridge Dr Fort Collins CO 80528-5100 | |
| (970) 217-4896 | |
| Not Available |
| Full Name | Bryvic Medical, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1914 Falcon Ridge Dr, Fort Collins, Colorado |
| Authorized Official Name and Position | Victor Duarte (NURSE PRACTITIONER / OWNER) |
| Authorized Official Contact | 9702174896 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bryvic Medical, Llc 1914 Falcon Ridge Dr Fort Collins CO 80528-5100 Ph: (970) 217-4896 | Bryvic Medical, Llc 1914 Falcon Ridge Dr Fort Collins CO 80528-5100 Ph: (970) 217-4896 |
| NPI Number | 1225678691 |
|---|---|
| Provider Enumeration Date | 01/13/2020 |
| Last Update Date | 01/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225678691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207QH0002X | Family Medicine - Hospice And Palliative Medicine | (* (Not Available)) | Secondary |
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