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NPI Code Detail

MEDICARE: THE NATURAL PATH, LTD.

MEDICARE: THE NATURAL PATH, LTD.
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
1261QM0850XAdult Mental Health Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1NCL.0108586OTHERCODORA
206724OTHERAMERICAN NATUROPATHIC MEDICAL CERTIFICATION BOARD

General Provider Information

NPI Number : 1912557562
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE NATURAL PATH, LTD.
Provider Business Mailing Address
First Line : 2212 S COLLEGE AVE
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-1419
Country : US
Telephone Number : 970-829-1110
Fax Number :
Provider Business Practice Location Address
First Line : 2212 S COLLEGE AVE
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-1419
Country : US
Telephone Number : 970-829-1110
Fax Number :
Authorized Official
Title or Position : DOCTOR OF NATURAL MEDICINE
Name : DR. RONALD CARL MALONE
Credential : DNM
Telephone Number : 970-829-1110
Provider Enumeration Date : 09/16/2019
Last Update Date : 09/16/2019

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Directions to “THE NATURAL PATH, LTD. ” Practice Location

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