| Integrative Sports Medicine Llc | |
|
2020 S College Ave Fort Collins CO 80525-1464 | |
| (970) 488-1668 | |
| Not Available |
| Full Name | Integrative Sports Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2020 S College Ave, Fort Collins, Colorado |
| Authorized Official Name and Position | Brad Seth Abrahamson (MEMBER OWNER) |
| Authorized Official Contact | 9706913847 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Sports Medicine Llc 2020 S College Ave Fort Collins CO 80525-1464 Ph: (970) 825-6825 | Integrative Sports Medicine Llc 2020 S College Ave Fort Collins CO 80525-1464 Ph: (970) 488-1668 |
| NPI Number | 1609368174 |
|---|---|
| Provider Enumeration Date | 05/31/2018 |
| Last Update Date | 03/26/2020 |
| Medicare PECOS PAC ID | 0749538437 |
|---|---|
| Medicare Enrollment ID | O20180813003127 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609368174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Primary |
| Provider Name | Bradley S Abrahamson |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1629185129 PECOS PAC ID: 5395750376 Enrollment ID: I20060213000317 |
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