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Contact Information

COLORADO MEDICAL GROUP, PLLC
1551 PROFESSIONAL LN UNIT 240
LONGMONT, CO80501-6967
 Phone: 800-991-6117
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for COLORADO MEDICAL GROUP, PLLC

NPI # 1700573201
LBN Legal business name COLORADO MEDICAL GROUP, PLLC
Authorized official ALI WAZNI - (CHIEF MEDICAL OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/24/2023
Last updated 04/24/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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