MEDICARE: HARRY S. CALVINO MD

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	207P00000X	Emergency Medicine Physician	13442	AZ

General Provider Information

NPI Number	:	1497742142
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HARRY S. CALVINO MD

Provider Business Mailing Address
First Line	:	1100 COBBLESTONE CT
Second Line	:
City	:	FT COLLINS
State	:	CO
Zip	:	80525-2832
Country	:	US
Telephone Number	:	970-226-1210
Fax Number	:

Provider Business Practice Location Address
First Line	:	1100 COBBLESTONE CT
Second Line	:
City	:	FT COLLINS
State	:	CO
Zip	:	80525-2832
Country	:	US
Telephone Number	:	970-226-1210
Fax Number	:

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

Provider Enumeration Date	:	09/27/2005
Last Update Date	:	08/27/2016

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