| Heritage Family Medicine Llc | |
|
1006 Robertson St Fort Collins CO 80524-3900 | |
| (970) 224-1596 | |
| (970) 530-1919 |
| Full Name | Heritage Family Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1006 Robertson St, Fort Collins, Colorado |
| Authorized Official Name and Position | Douglas Edward Canham (PRESIDENT / CEO) |
| Authorized Official Contact | 9702241596 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heritage Family Medicine Llc 1006 Robertson St Fort Collins CO 80524-3900 Ph: (970) 224-1596 | Heritage Family Medicine Llc 1006 Robertson St Fort Collins CO 80524-3900 Ph: (970) 224-1596 |
| NPI Number | 1679931182 |
|---|---|
| Provider Enumeration Date | 01/29/2016 |
| Last Update Date | 01/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679931182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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