Search › Colorado › 225700000X
Douglas Cave, MT
NPI 1316457088 · on the registry since 2017 · sole proprietor
Practice
- Address
- 1245 E Lincoln Ave Apt 812
Fort Collins, CO 80524 - Phone
- (970) 691-6036
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- CO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-10-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado