MEDICARE: DR. ROSE GEORGE 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	2084P0800X	Psychiatry Physician	8013503-1205	UT
2	2084P0800X	Psychiatry Physician	DR.0061402	CO

General Provider Information

NPI Number	:	1588863211
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROSE GEORGE MD

Provider Business Mailing Address
First Line	:	939 SNOWY PLAIN RD
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-8897
Country	:	US
Telephone Number	:	970-430-5458
Fax Number	:	801-447-4852

Provider Business Practice Location Address
First Line	:	4103 BOARDWALK DR
Second Line	:	SUITE 200
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-5931
Country	:	US
Telephone Number	:	970-430-5458
Fax Number	:	801-447-4852

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

Provider Enumeration Date	:	07/12/2007
Last Update Date	:	08/30/2019

Similar Medicare Providers

1336663806 — DR. KENNETH JOEL PARNELL PHD
Practice Location Address:

4103 BOARDWALK DR STE 201
FORT COLLINS, CO
80525-5931

Practice Phone: 970-413-2798
Practice Fax:

1447239736 — DR. KEVIN JOHN ANDERSON OD
Practice Location Address:

4103 BOARDWALK STE 100
FT COLLINS, CO
80525-5931

Practice Phone: 970-223-0592
Practice Fax: 970-377-1082

1346422607 — DR KEVIN ANDERSON & ASSOCIATES, PC.
Practice Location Address:

4103 BOARDWALK DR , SUITE 100
FORT COLLINS, CO
80525-5931

Practice Phone: 970-223-0592
Practice Fax: 970-377-1082

1437313509 — CHRISTOPHER MICHAEL GUBBELS DC
Practice Location Address:

257 E BOARDWALK DR
FORT COLLINS, CO
80525-5931

Practice Phone: 970-207-4046
Practice Fax: 970-207-4052

1134450539 — FORT COLLINS MEDI-SPA
Practice Location Address:

4103 BOARDWALK DR , SUITE 100
FORT COLLINS, CO
80525-5931

Practice Phone: 970-204-0400
Practice Fax: 970-377-1082

1679804074 — SUSAN C ANDERSON
Practice Location Address:

4103 BOARDWALK DR , SUITE 100
FORT COLLINS, CO
80525-5931

Practice Phone: 970-204-0400
Practice Fax: 970-377-1082

Directions to “ DR. ROSE GEORGE MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.