Organization · Type 2 NPI

VVMC Diversified Services

Cardiovascular Disease Physician · Fort Collins, CO

NPI number 1942953997 Active

Practice location

4700 Lady Moon Dr
Fort Collins, CO 80528-4426

Call (970) 476-1110 Map

Mailing address

PO Box 841152
Kansas City, MO 64184-1150

Specialties and licenses

Taxonomy	Code	License
Cardiovascular Disease Physician Primary	207RC0000X	None listed

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

24 other providers at this address

Other cardiovascular disease physician providers in Fort Collins

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NPI record

NPI: 1942953997
Entity type: Organization (Type 2)
Issued: Jan 31, 2022
Last updated: Jan 9, 2025
Status: Active
Subpart: Yes of VVMC Diversified Services

Other names

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Vail Health Clinics Fort Collins · doing business as
Vail Health Clinics Fort Collins · doing business as

Authorized official

Michael G Brown
SVP & CFO
(970) 479-7272

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1942953997

VVMC Diversified Services's National Provider Identifier is 1942953997, issued on Jan 31, 2022. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Fort Collins, CO. The record was last updated on Jan 9, 2025.