Provider Demographics
NPI:1427443092
Name:FORT COLLINS ORTHOPAEDICS PLLC
Entity type:Organization
Organization Name:FORT COLLINS ORTHOPAEDICS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAL
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:970-222-9745
Mailing Address - Street 1:2021 BATTLECREEK DR
Mailing Address - Street 2:SUITE D
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80528-5119
Mailing Address - Country:US
Mailing Address - Phone:970-286-2393
Mailing Address - Fax:970-825-5920
Practice Address - Street 1:2021 BATTLECREEK DR
Practice Address - Street 2:SUITE D
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80528-5119
Practice Address - Country:US
Practice Address - Phone:970-286-2393
Practice Address - Fax:970-825-5920
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-01
Last Update Date:2015-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports MedicineGroup - Single Specialty