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NPI Code Detail

MEDICARE: DANA C ANGLUND DO

MEDICARE:   DANA C ANGLUND  DO
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
1204D00000XNeuromusculoskeletal Medicine & OMM Physician50054CO
2207Q00000XFamily Medicine Physician50054CO

General Provider Information

NPI Number : 1770780124
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANA C ANGLUND DO
Provider Business Mailing Address
First Line : 1635 FOXTRAIL DR
Second Line :
City : LOVELAND
State : CO
Zip : 80538-9086
Country : US
Telephone Number : 720-340-8304
Fax Number : 720-506-3408
Provider Business Practice Location Address
First Line : 1635 FOXTRAIL DR
Second Line :
City : LOVELAND
State : CO
Zip : 80538-9086
Country : US
Telephone Number : 720-340-8304
Fax Number : 720-506-3408
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2007
Last Update Date : 02/14/2012

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Directions to “ DANA C ANGLUND DO” Practice Location

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