Rocky Mountain Center for Reproductive Medicine PC
Organization Active NPI Reproductive Endocrinology Physician · Ft Collins, CO
NPI 1013129642 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1013129642
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Reproductive Endocrinology Physician 207VE0102X
- License
- 27514 (CO)
- Legal business name
- ROCKY MOUNTAIN CENTER FOR REPRODUCTIVE MEDICINE PC
- Practice address
- 1080 E Elizabeth St
Ft Collins, CO 80524 - Phone
- (970) 493-6353
- Fax
- (970) 493-6366
- NPI assigned
- May 4, 2007
- Organization subpart
- No
Authorized official
- Name
- Carla H Boldt
- Title
- Administrator
- Phone
- (970) 493-6353
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reproductive Endocrinology Physician |
207VE0102X | 27514 | CO | Yes |
Addresses
Primary practice location
1080 E Elizabeth St
Ft Collins, CO 80524
Mailing address
1080 E Elizabeth St
Ft Collins, CO 80524
Phone (970) 493-6353
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01275148 | Medicaid | CO |
Other providers in Ft Collins, CO
- Chase Wingate Robison
- Edmund L. Robison
- Benjamin Scott Rochford
- Sean Dale Rockett
- Alexandra Rockwell Fuller
- Rocky Mountain Chiro Care, P.C.
- Rocky Mountain Clinics LLC
- Rocky Mountain Clinics LLC
- Rocky Mountain Clinics LLC
- Rocky Mountain Clinics, LLC
All providers in Ft Collins, CO · Reproductive Endocrinology Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.