Integrated Family Medicine Pllc | |
110 W Harvard St Ste 2 Fort Collins CO 80525-5217 | |
(970) 282-1173 | |
(970) 282-1175 |
Full Name | Integrated Family Medicine Pllc |
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Speciality | Family Medicine |
Location | 110 W Harvard St, Fort Collins, Colorado |
Authorized Official Name and Position | Marian Bursten (OWNER PHYSICIAN) |
Authorized Official Contact | 9702821173 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Integrated Family Medicine Pllc 110 W Harvard St Ste 2 Fort Collins CO 80525-5217 Ph: (970) 282-1173 | Integrated Family Medicine Pllc 110 W Harvard St Ste 2 Fort Collins CO 80525-5217 Ph: (970) 282-1173 |
NPI Number | 1821155268 |
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Provider Enumeration Date | 01/03/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821155268 | NPI | - | NPPES |
1710942339 | Other | CO | NPI - INDIVIDUAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 42461 (Colorado) | Primary |
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