| Elevation Medical, Inc. | |
|
4745 Boardwalk Dr Unit C1 Fort Collins CO 80525-3769 | |
| (970) 207-4066 | |
| (970) 225-1392 |
| Full Name | Elevation Medical, Inc. |
|---|---|
| Speciality | General Practice |
| Location | 4745 Boardwalk Dr Unit C1, Fort Collins, Colorado |
| Authorized Official Name and Position | Michael Pustilnik (PARTNER) |
| Authorized Official Contact | 9702074066 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elevation Medical, Inc. 4745 Boardwalk Dr Unit C1 Fort Collins CO 80525-3769 Ph: (970) 207-4066 | Elevation Medical, Inc. 4745 Boardwalk Dr Unit C1 Fort Collins CO 80525-3769 Ph: (970) 207-4066 |
| NPI Number | 1639549215 |
|---|---|
| Provider Enumeration Date | 09/25/2015 |
| Last Update Date | 09/25/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639549215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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