Provider Information for 1518060672
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UNIV OF N CO STUDENT HLTH CTR
Organization Subpart: NO
NPI: 1518060672
Last Updated: 2020-08-22
Certification Date:
Certification Date:
Details
Name | Value | ||||||||
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NPI | 1518060672 | ||||||||
Enumeration Date | 2006-09-06 | ||||||||
NPI Type | NPI-2 Organization | ||||||||
Status | Active | ||||||||
Authorized Official Information | Name: ROGER POMEROY MSPT Title: DIR OF REHAB SVCS UNC ST HLTH Phone: 9703922431 | ||||||||
Mailing Address | 1901 10TH AVE CASSIDY HALL GREELEY, CO 80631 United States Phone: | Fax: | ||||||||
Primary Practice Address | 1901 10TH AVE CASSIDY HALL GREELEY, CO 80631 United States Phone: 970-351-2412 | Fax:970-350-4953 | ||||||||
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