Jason Deboodt
NPI #1013217900 in Fort Collins, Colorado
Provider Information
- NPI Number
- 1013217900
- Entity Type
- Individual
- Name
- Jason Deboodt
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Enumeration Date
- Oct 26, 2010
- Last Updated
- Oct 26, 2010
Practice Location
- Address
- 2160 W DRAKE RD
- City
- Fort Collins
- State
- Colorado
- ZIP Code
- 80526-1486
- Phone
- (970) 484-2843
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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