Physiom, LLC

NPI #1376789552 in Fort Collins, Colorado

Provider Information

NPI Number: 1376789552
Entity Type: Organization
Organization Name: Physiom, LLC
Primary Specialty: Specialist
Enumeration Date: Dec 18, 2008
Last Updated: Dec 18, 2008

Practice Location

Address: 1300 OAKRIDGE DR
Address 2: 130
City: Fort Collins
State: Colorado
ZIP Code: 80525-5564
Phone: (970) 377-9555

Authorized Official

Name: MRS. SHANDEL SCHRODER
Title: BILLING AGENT
Phone: (303) 922-4636

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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