MEDICARE: PATRICIA C PALAGI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	35548	CO

General Provider Information

NPI Number	:	1174568653
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA C PALAGI M.D.

Provider Business Mailing Address
First Line	:	702 W DRAKE RD # A
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80526-5556
Country	:	US
Telephone Number	:	970-229-4653
Fax Number	:	970-229-4687

Provider Business Practice Location Address
First Line	:	702 W DRAKE RD # A
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80526-5556
Country	:	US
Telephone Number	:	970-229-4653
Fax Number	:	970-229-4687

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2006
Last Update Date	:	12/10/2015

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