Provider Demographics
NPI:1194971028
Name:CO, ALISTAIR C (MD)
Entity type:Individual
Prefix:DR
First Name:ALISTAIR
Middle Name:C
Last Name:CO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1407 E ALLEGRIE DR
Mailing Address - Street 2:
Mailing Address - City:INVERNESS
Mailing Address - State:FL
Mailing Address - Zip Code:34453-3658
Mailing Address - Country:US
Mailing Address - Phone:352-352-1388
Mailing Address - Fax:352-645-2832
Practice Address - Street 1:700 SE 5TH TER STE 2
Practice Address - Street 2:
Practice Address - City:CRYSTAL RIVER
Practice Address - State:FL
Practice Address - Zip Code:34429-4865
Practice Address - Country:US
Practice Address - Phone:352-352-1388
Practice Address - Fax:352-645-2832
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-12
Last Update Date:2024-01-29
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Provider Licenses
StateLicense IDTaxonomies
MI4301092319207Q00000X
FLME110427207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine