Colorado Medical Group, Pllc

NPI #1356714638 in Fort Collins, Colorado

Provider Information

NPI Number: 1356714638
Entity Type: Organization
Organization Name: Colorado Medical Group, Pllc
Primary Specialty: Surgery - Vascular Surgery
Enumeration Date: Nov 9, 2015
Last Updated: Mar 8, 2024

Practice Location

Address: 3665 JOHN F KENNEDY PKWY STE 1-200
City: Fort Collins
State: Colorado
ZIP Code: 80525-3152
Phone: (800) 991-6117

Authorized Official

Name: ALI N WAZNI, MD
Title: CHIEF ADMINISTRATION OFFICER
Phone: (800) 991-6117

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X
Surgery - Vascular Surgery — Vascular Surgery	2086S0129X	Primary

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Provider Name	Specialty	City
DR. Bruce Donald Misare, MD, RPH	Surgery - Vascular Surgery	Fort Collins	AI Deep Dive
DR. John Leonard, MD	Surgery - Vascular Surgery	Longmont	AI Deep Dive
DR. Charles O Brantigan	Surgery - Vascular Surgery	Aurora	AI Deep Dive
DR. David S Feuer, M.D.	Surgery - Vascular Surgery	Colorado Springs	AI Deep Dive

Organizations

Provider Name	Specialty	City
Colorado Medical Group, Pllc	Surgery - Vascular Surgery	Fort Collins	AI Deep Dive

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