Colorado Plain Physician Practices, LLC

NPI #1366673188 in Fort Morgan, Colorado

Provider Information

NPI Number: 1366673188
Entity Type: Organization
Organization Name: Colorado Plain Physician Practices, LLC
Primary Specialty: Surgery
Enumeration Date: Jul 28, 2009
Last Updated: Jul 28, 2009

Practice Location

Address: 1000 LINCOLN ST
Address 2: SUITE 208
City: Fort Morgan
State: Colorado
ZIP Code: 80701-3290
Phone: (970) 542-4371

Authorized Official

Name: TIMOTHY VAUGHN
Title: PRESIDENT
Phone: (970) 867-7900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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